Organization Active NPI

State of Oregon Department of Veterans Affairs

  • Skilled Nursing Facility
  • The Dalles, OR
National Provider Identifier
1831274364
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
800072 Issued in OR
Legal business name
STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS
Practice address
700 Veterans Dr
The Dalles, OR 97058-9757
Phone
(541) 296-7190
Fax
(541) 296-2339
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Edward Van Dyke
Title
Deputy Director
Phone
(503) 373-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 800072 OR Primary

Addresses

Primary practice location

700 Veterans Dr
The Dalles, OR 97058-9757

Mailing address

700 Summer St NE
Salem, OR 97301-1285
Phone (503) 373-2000

Other identifiers 2

IdentifierTypeStateIssuer
800072MedicaidOR
73426380OtherOROVH REGISTRY NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000937 OR Part A Provider - Skilled Nursing Facility 4789675000 Practice locations: The Dalles, OR

Skilled nursing facility certification: CCN 385257

Legal name
STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS
Doing business as
OREGON VETERANS HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 29, 1998
Last certification
Mar 14, 2025
Beds
151
Ownership / control type
Nonprofit Corporation
Organization structure
GovernmentNon-profit
Enrollment address
700 Veterans Dr
The Dalles, OR 97058-9757
Nursing home name
OREGON VETERANS HOME

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Oregon Veterans HomeCCN 385257
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 29, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
151110.8 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $13,065

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0935151Oregon Veterans Home700 Veterans Dr, The Dalles, OR 97058Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

700 Summer St NE
Salem, OR 97301

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Veterans Care Centers of Oregon Organization, Salem, OR Non-profit Operational/Managerial Control Oct 1, 2003 100%
State of Oregon Department of Veterans Affairs Organization, Salem, OR 5% Or Greater Direct Ownership Interest Oct 1, 2003 100%
Westcare Management Inc Organization, Salem, OR For-profit Operational/Managerial Control Oct 1, 2003 100%
Donna K Haole Valenzuela Individual Corporate OfficerChief Financial Officer Mar 1, 2022 100%
Bryan Decker Individual Operational/Managerial ControlPresident Westcare Management Oct 1, 2003 100%
Tara Pray Individual W-2 Managing EmployeeExecutive Director Jun 14, 2022

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lebanon Veterans HomeLebanon, OR, CCN 385280 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1831274364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUMMER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011285",
            "telephone_number": "503-373-2000",
            "fax_number": "503-373-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VETERANS DR",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970589757",
            "telephone_number": "541-296-7190",
            "fax_number": "541-296-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OREGON DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "503-373-2387"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800072",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OVH REGISTRY NUMBER",
            "identifier": "73426380",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.