Organization Active NPI

Mountain View Rehab, LLC

Doing business as Avamere Rehabilitation of Oregon City

  • Skilled Nursing Facility
  • Oregon City, OR
National Provider Identifier
1780601724
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MOUNTAIN VIEW REHAB, LLC
Doing business as
Avamere Rehabilitation of Oregon City
Practice address
1400 Division St
Oregon City, OR 97045-1525
Phone
(503) 656-0367
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
K. Rickard Miller Jr.
Title
Manager
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1400 Division St
Oregon City, OR 97045-1525

Mailing address

25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697

Other names 1

  • Avamere Rehabilitation of Oregon City Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000520 OR Part A Provider - Skilled Nursing Facility 6608961131 Practice locations: Oregon City, OR

Skilled nursing facility certification: CCN 385125

Legal name
MOUNTAIN VIEW REHAB, LLC
Doing business as
AVAMERE REHABILITATION OF OREGON CITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 28, 1975
Last certification
Jun 6, 2025
Beds
111
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Avamere LLC
Organization structure
LLCProprietary
Enrollment address
1400 Division St
Oregon City, OR 97045-1525
Nursing home name
AVAMERE REHABILITATION OF OREGON CITY
Affiliated entity
AVAMERE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avamere Rehabilitation of Oregon CityCCN 385125 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 28, 1975
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11161.5 residents per day on average
Chain
Avamere27 facilities in the chain
Penalties (3 years)
1Fines totaling $85,768

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 46

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avamere Skilled Advisors LLC Organization, Wilsonville, OR LLC, For-profit Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jul 14, 2025
Nicole a Angerhofer Individual Operational/Managerial Control Dec 1, 2023
Adp of the SNF Dec 1, 2023
Organization, Tustin, CA Holding company, For-profit Adp of the SNF Aug 17, 2017
Michelle Funderberg Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Dec 31, 2024
Karl Rickard Miller Individual Indirect Ownership Interest Jul 20, 2001 100%
Ari Operations, LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 6, 2006 100%
Jennifer Dana Individual Operational/Managerial Control May 1, 2022
Adp of the SNF May 1, 2022
Andrew Simpson Individual Operational/Managerial Control Jun 1, 2024
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Jun 1, 2024
Organization, Tustin, CA LLC, For-profit Trustee of the SNF May 31, 2031
Adp of the SNF Aug 7, 2015
Midcap Finco LLC Organization, Bethesda, MD LLC, Financial institution, For-profit, Owned by another organization or individual 5% Or Greater Security Interest Jun 25, 2013 100%
Operational/Managerial Control Jun 25, 2013
Glen Robert Cavallo Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Ariso LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Direct Ownership Interest Jan 6, 2006 100%
Mark Yount Individual Adp of the SNF Oct 1, 2019
Carolyn Staples Individual Adp of the SNF Oct 5, 2023
Organization, Tacoma, WA LLC, Medical staffing company, For-profit Adp of the SNF Jul 10, 2025
Karl Rickard Miller Jr Revocable Trust Organization, Ketchum, ID Indirect Ownership Interest Jul 11, 2011 100%
Allen Edward James Individual Operational/Managerial Control Jul 8, 2022
Adp of the SNF Jul 10, 2025
Avamere Health Services LLC Organization, Wilsonville, OR LLC, For-profit, Chain home office Operational/Managerial Control Jan 1, 2005
Adp of the SNF Jul 10, 2025
Organization, Wilsonville, OR LLC, For-profit Adp of the SNF Jul 10, 2025
Ike Okoli Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Todd Inskeep Individual Managing Control - Governing Body Jun 1, 2025
Adp of the SNF Jan 21, 2022
Colby Strunk Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Adp of the SNF Sep 6, 2022
Justin Polson Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Feb 10, 2025
Organization, Spokane Valley, WA Corporation, For-profit Adp of the SNF Jul 10, 2025
Organization, Tustin, CA Corporation, Holding company, For-profit, Real estate investment trust (REIT) Adp of the SNF Aug 17, 2017
Kim Games Individual Adp of the SNF Aug 15, 2024
Organization, Charlotte, NC LLC, For-profit Adp of the SNF Jul 10, 2025
Michele Powelson Individual Operational/Managerial Control Mar 25, 2015
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Mar 25, 2015
Tonia Hoskins Individual Operational/Managerial Control Jul 19, 2024
Managing Control - Governing BodyVoting Member Jun 1, 2025
Julie Davis Individual Adp of the SNF Aug 1, 2024
Mary Kofstad Individual Operational/Managerial Control Feb 13, 2024
Managing Control - Governing Body Jun 1, 2025
Adp of the SNF Feb 13, 2024
Yolanda Presley Individual Operational/Managerial Control Jan 6, 2025
Adp of the SNF Jan 6, 2025
Jolynn Munro Individual Operational/Managerial Control Sep 1, 2023
Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Sep 1, 2023
Avamere Group LLC Organization, Wilsonville, OR LLC, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Jan 6, 2006 100%
Cody Feakin Individual Operational/Managerial Control Jul 15, 2025
Managing Control - Governing Body Jun 1, 2025
Adp of the SNF Jan 1, 2025
Misty Dawn Reid Individual Operational/Managerial Control Jan 2, 2025
Managing Control - Governing Body Jun 1, 2025
Adp of the SNF Jan 2, 2025
Organization, Tustin, CA LLC, Holding company, For-profit Adp of the SNF Aug 17, 2017
Organization, Houston, TX LLC, Medical staffing company, For-profit Adp of the SNF Jul 14, 2025
Amanda Sanders Individual Managing Control - Governing BodyNon-Voting Member Jun 1, 2025
Kevin Hill Individual Managing Control - Governing BodyVoting Member Jun 1, 2025
Adp of the SNF Mar 12, 2022
Andrea Doepker Individual Operational/Managerial Control Sep 28, 2023
Adp of the SNF Sep 8, 2023
Nita Vellody Individual Operational/Managerial Control Aug 1, 2020
Adp of the SNF Aug 1, 2020
Moss Adams LLP Organization, Seattle, WA For-profit Adp of the SNF Jan 1, 2009
Damien Haskins Individual Managing Control - Governing BodyVoting Member Sep 1, 2025
Carrie Vanderzanden Individual Managing Control - Governing Body Jun 1, 2025
Adp of the SNF Jan 1, 2025
Carie Lee Individual Operational/Managerial Control May 1, 2024
Adp of the SNF May 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1780601724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DIVISION ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451525",
            "telephone_number": "503-656-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "K. RICKARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinServi",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Avamere Rehabilitation of Oregon City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon City, OR

Sources for this page

Verify at the official NPI Registry.