Active NPI
Crestview Operations, LLC
- Skilled Nursing Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CRESTVIEW OPERATIONS, LLC
- Practice address
- 6530 SW 30TH Ave
Portland, OR 97239-1007 - Phone
- (503) 244-7533
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6530 SW 30TH Ave
Portland, OR 97239-1007
Mailing address
25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9600
Other names 1
- Avamere Crestview of Portland
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060720000335 | OR | Part A Provider - Skilled Nursing Facility | 1951314723 | Practice locations: Portland, OR |
Skilled nursing facility certification: CCN 385031
- Legal name
- CRESTVIEW OPERATIONS LLC
- Doing business as
- AVAMERE CRESTVIEW OF PORTLAND
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1967
- Last certification
- Sep 13, 2024
- Beds
- 127
- Ownership / control type
- Corporation
- Multi-facility organization
- Avamere Health Services
- Organization structure
- LLC
- Enrollment address
- 6530 SW 30TH Avenue
Portland, OR 97239-1007 - Nursing home name
- AVAMERE CRESTVIEW OF PORTLAND
- Affiliated entity
- AVAMERE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Avamere Crestview of Portland
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1967
- Medicare certification status
- Active
- Certified beds
- 127
- Chain
- Avamere
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 52
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Avamere Skilled Advisors LLC | Operational/Managerial Control | Oct 1, 2006 | |
| Adp of the SNF | Jul 3, 2025 | ||
| Nancy Adams | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Nursa Inc | Adp of the SNF | Sep 1, 2023 | |
| Sabra Health Care Reit Inc | Adp of the SNF | Aug 17, 2017 | |
| Lori Harrison | Adp of the SNF | Feb 22, 2021 | |
| Heatherann Giles | Operational/Managerial Control | Jan 1, 2024 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Michelle Funderberg | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Dec 31, 2024 | ||
| Adp of the SNF | Aug 7, 2015 | ||
| Karl Rickard Miller | 5% Or Greater Indirect Ownership Interest | May 1, 1997 | |
| Ari Operations, LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2006 | 100% |
| Jennifer Dana | Operational/Managerial Control | May 1, 2022 | |
| Adp of the SNF | May 1, 2022 | ||
| Andrew Simpson | Operational/Managerial Control | Jun 1, 2024 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jun 1, 2024 | ||
| Midcap Finco LLC | 5% Or Greater Security Interest | Jan 22, 2010 | 100% |
| Operational/Managerial Control | Jan 22, 2010 | ||
| Glen Robert Cavallo | Managing Control - Governing Body | Jun 1, 2025 | |
| Ariso LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2006 | 100% |
| Carolyn Staples | Adp of the SNF | Oct 5, 2023 | |
| Karl Rickard Miller Jr Revocable Trust | 5% Or Greater Indirect Ownership Interest | Feb 1, 1997 | 100% |
| Fusion Medical Staffing LLC | Adp of the SNF | Apr 12, 2024 | |
| Avamere Health Services LLC | Operational/Managerial Control | Oct 1, 2006 | |
| Adp of the SNF | Jul 13, 2025 | ||
| David P Larson | Operational/Managerial Control | Apr 1, 2020 | |
| Adp of the SNF | Apr 1, 2020 | ||
| Ike Okoli | Managing Control - Governing Body | Jun 1, 2025 | |
| Todd Inskeep | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Jan 21, 2022 | ||
| Consolidated Billing Services Inc | Adp of the SNF | Apr 24, 1998 | |
| CMG Cit Acquisition, LLC | Adp of the SNF | Dec 18, 2023 | |
| Ventura Medstaff, LLC | Adp of the SNF | Apr 1, 2024 | |
| Colby Strunk | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Sep 6, 2022 | ||
| Justin Polson | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Feb 10, 2025 | ||
| Kevala Technologies, Inc | Adp of the SNF | Oct 31, 2023 | |
| Kim Games | Adp of the SNF | Aug 15, 2024 | |
| Rande Holdings, LLC | Adp of the SNF | Jun 1, 2024 | |
| Michele Powelson | Operational/Managerial Control | Mar 25, 2015 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Mar 25, 2015 | ||
| Avamere Group LLC | 5% Or Greater Indirect Ownership Interest | Oct 1, 2006 | 100% |
| Tonia Hoskins | Operational/Managerial Control | Jul 19, 2024 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Julie Davis | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Mary Kofstad | Operational/Managerial Control | Feb 13, 2024 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Feb 13, 2024 | ||
| Sabra Health Care Limited Partnership | Adp of the SNF | Aug 17, 2017 | |
| Yolanda Presley | Operational/Managerial Control | Jan 6, 2025 | |
| Adp of the SNF | Jan 6, 2025 | ||
| Sarah Tijerina | Operational/Managerial Control | Oct 13, 2023 | |
| Adp of the SNF | Jul 13, 2025 | ||
| National Staffing Solutions, Inc | Adp of the SNF | Nov 22, 2023 | |
| Jolynn Munro | Operational/Managerial Control | Sep 1, 2023 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Sep 1, 2023 | ||
| Aequor Healthcare Services, LLC | Adp of the SNF | Sep 20, 2023 | |
| Incovate Solutions, LLC | Adp of the SNF | Jan 21, 2022 | |
| Cody Feakin | Operational/Managerial Control | Jul 15, 2025 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jan 1, 2025 | ||
| Misty Dawn Reid | Operational/Managerial Control | Jan 2, 2025 | |
| Managing Control - Governing Body | Jun 1, 2025 | ||
| Adp of the SNF | Jan 2, 2025 | ||
| Amanda Sanders | Managing Control - Governing Body | Jun 1, 2025 | |
| Kevin Hill | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Mar 12, 2022 | ||
| Andrea Doepker | Operational/Managerial Control | Sep 28, 2023 | |
| Adp of the SNF | Sep 28, 2023 | ||
| Converdia Health Staffing - Therapies | Adp of the SNF | Jul 9, 2024 | |
| Sabra Health Care, LLC | Adp of the SNF | Aug 17, 2017 | |
| Moss Adams LLP | Adp of the SNF | Jan 1, 2009 | |
| Phoi Lao | Operational/Managerial Control | Nov 12, 2024 | |
| Adp of the SNF | Nov 12, 2024 | ||
| Carrie Vanderzanden | Managing Control - Governing Body | Jun 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Beaverton, OR
- NPI 1992798599
Adp of the SNF, Operational/Managerial Control
-
- Psychiatric/Mental Health Nurse Practitioner
- Windsor, CO
- NPI 1851992176
Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control
Facilities with the same owner 26
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Lake Oswego, OR
- NPI 1437176344
Ari Operations, LLC, Avamere Group LLC
-
- Skilled Nursing Facility
- Gladstone, OR
- NPI 1518001205
Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC
-
- Skilled Nursing Facility
- Coos Bay, OR
- NPI 1831233519
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Eugene, OR
- NPI 1265576946
Ari Operations, LLC, Ariso LLC, Avamere Health Services LLC
-
- Skilled Nursing Facility
- Junction City, OR
- NPI 1578607164
Avamere Health Services LLC, Avamere Skilled Advisors LLC
-
- Skilled Nursing Facility
- Keizer, OR
- NPI 1093732901
Ari Operations, LLC, Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC
-
- Skilled Nursing Facility
- Tigard, OR
- NPI 1295752236
Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC
-
- Skilled Nursing Facility
- Lebanon, OR
- NPI 1447277470
Ari Operations, LLC, Ariso LLC, Avamere Health Services LLC
-
- Skilled Nursing Facility
- Medford, OR
- NPI 1093059644
Ari Operations, LLC, Ariso LLC, Avamere Group LLC
-
- Skilled Nursing Facility
- Oregon City, OR
- NPI 1780601724
Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC
-
- Skilled Nursing Facility
- Newport, OR
- NPI 1184768772
Avamere Health Services LLC, Avamere Skilled Advisors LLC, Midcap Finco LLC
-
- Skilled Nursing Facility
- Hillsboro, OR
- NPI 1346267317
Avamere Group LLC, Avamere Health Services LLC, Avamere Skilled Advisors LLC, Karl Rickard Miller Jr Revocable Trust, Midcap Finco LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Beaverton, OR
- NPI 1992798599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1922046606",
"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": "970709600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 SW 30TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391007",
"telephone_number": "503-244-7533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRESTVIEW OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"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 Crestview of Portland",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.