Organization Active NPI

Sapphire at Cedar Crossings, LLC

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1962025809
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Nov 28, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500789681MedicaidOR

Other names 1

  • Cedar Crossings Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CrossingsCCN 385284
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8978.6 residents per day on average
Chain
Sapphire Health Services8 facilities in the chain
Penalties (3 years)
2Fines totaling $32,383

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Sapphire Healthcare SRVS. Organization, Portland, OR Management services company Operational/Managerial Control Jan 4, 2021
Adp of the SNF Apr 16, 2025
Andrew L Becker Individual 5% Or Greater Direct Ownership InterestMember Jun 1, 2020 30%
Adp of the SNF May 1, 2024
Lisa J Hilty Individual 5% Or Greater Direct Ownership InterestMember Jun 1, 2020 25%
Adp of the SNF May 1, 2024
Mary Meeko Individual Operational/Managerial Control Jul 15, 2024
Adp of the SNF Jul 23, 2024
Kevin Ricker Individual 5% Or Greater Direct Ownership InterestMember Jul 1, 2020 40%
Adp of the SNF May 1, 2024
Bryan Morris Individual 5% Or Greater Direct Ownership InterestMember Jun 1, 2020 5%
Adp of the SNF May 1, 2024
Deborah Kempe Ames Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Organization, Portland, OR LLC, Holding company 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.

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "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

Verify at the official NPI Registry.