Active NPI
Sapphire at Cedar Crossings, LLC
- Skilled Nursing Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SAPPHIRE AT CEDAR CROSSINGS, LLC
- Practice address
- 6003 SE 136TH Ave
Portland, OR 97236-4567 - Phone
- (503) 887-7395
- NPI assigned
- May 27, 2020
- 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
- Kevin Michael Ricker
- Title
- Managing Member
- Phone
- (503) 887-7395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6003 SE 136TH Ave
Portland, OR 97236-4567
Mailing address
305 NE 102ND Ave Ste 250
Portland, OR 97220-4170
Phone (503) 446-2877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500789681 | Medicaid | OR |
Other names 1
- Cedar Crossings
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210629002944 | OR | Part A Provider - Skilled Nursing Facility | 6800297771 | Practice locations: Portland, OR |
Skilled nursing facility certification: CCN 385284
- Legal name
- SAPPHIRE AT CEDAR CROSSINGS, LLC
- Doing business as
- CEDAR CROSSINGS
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 2021
- Last certification
- Jan 17, 2025
- Beds
- 89
- Ownership / control type
- Limited Liability Corporation
- Multi-facility organization
- Sapphire Health Services
- Organization structure
- LLC
- Incorporated
- May 26, 2020 in OR
- Enrollment address
- 6003 SE 136TH Ave
Portland, OR 97236-4567 - Nursing home name
- CEDAR CROSSINGS
- Affiliated entity
- SAPPHIRE HEALTH SERVICES
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Cedar Crossings
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 2021
- Medicare certification status
- Active
- Certified beds
- 89
- Chain
- Sapphire Health Services
- Penalties (3 years)
- 2
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 8
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 |
|---|---|---|---|
| Sapphire Healthcare SRVS. | Operational/Managerial Control | Jan 4, 2021 | |
| Adp of the SNF | Apr 16, 2025 | ||
| Andrew L Becker | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 30% |
| Adp of the SNF | May 1, 2024 | ||
| Lisa J Hilty | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 25% |
| Adp of the SNF | May 1, 2024 | ||
| Mary Meeko | Operational/Managerial Control | Jul 15, 2024 | |
| Adp of the SNF | Jul 23, 2024 | ||
| Kevin Ricker | 5% Or Greater Direct Ownership Interest | Jul 1, 2020 | 40% |
| Adp of the SNF | May 1, 2024 | ||
| Bryan Morris | 5% Or Greater Direct Ownership Interest | Jun 1, 2020 | 5% |
| Adp of the SNF | May 1, 2024 | ||
| Deborah Kempe Ames | Operational/Managerial Control | Jan 1, 2025 | |
| Adp of the SNF | Jan 1, 2025 | ||
| Adp of the SNF | Jun 21, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Tualatin, OR
- NPI 1720257652
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 7
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1659003820
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1871208686
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1225445364
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Gresham, OR
- NPI 1033740899
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Myrtle Point, OR
- NPI 1346956406
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Sheridan, OR
- NPI 1588379390
Sapphire Healthcare SRVS.
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1124733944
Sapphire Healthcare SRVS.
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Critical Care Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1609074210
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764288000000",
"number": "1962025809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 NE 102ND AVE STE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204170",
"telephone_number": "503-446-2877",
"fax_number": "971-230-5846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6003 SE 136TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972364567",
"telephone_number": "503-887-7395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAPPHIRE AT CEDAR CROSSINGS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-27",
"last_updated": "2025-11-28",
"certification_date": "2025-11-28",
"status": "A",
"authorized_official_last_name": "RICKER",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "503-887-7395"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500789681",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Crossings",
"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 Nov 28, 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.