Organization Active NPI

Elite Care Grant LLC

  • Assisted Living Facility
  • Tigard, OR
National Provider Identifier
1871395491
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ELITE CARE GRANT LLC
Practice address
12353 SW Grant Ave
Tigard, OR 97223
Phone
(503) 583-7937
NPI assigned
Mar 25, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Raeann Voorhies, RN
Title
Ceo
Phone
(503) 348-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

12353 SW Grant Ave
Tigard, OR 97223

Mailing address

4444 SE Oatfield Hill Road
Milwaukie, OR 97267
Phone (503) 653-5656

Other identifiers 1

IdentifierTypeStateIssuer
529927MedicaidOR

Other names 1

  • DBA Fanno Creek by Elite Care Doing business as

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
38D2202390Fanno Creek by Elite Care12353 SW Grant Ave, Tigard, OR 97223Certificate of waiverNov 24, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1871395491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 SE OATFIELD HILL ROAD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "97267",
            "telephone_number": "503-653-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12353 SW GRANT AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-583-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE GRANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "VOORHIES",
        "authorized_official_first_name": "RAEANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-348-8587",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529927",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Fanno Creek by Elite Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.