HOMEWOOD HEIGHTS ASSISTED LIVING COMMUNITY
NPI 1093842288
Assisted Living Facility in Milwaukie, OR

Active since February 27, 2007CLIA 38D2270905 · Waiver
17999 SE RIVER RD, MILWAUKIE, OR 97267(503) 659-6600(503) 659-8193 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Homewood Heights Assisted Living Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMEWOOD HEIGHTS ASSISTED LIVING COMMUNITY (NPI 1093842288) is a healthcare organization registered as an assisted living facility in Milwaukie, Oregon and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Gregory J Vislocky, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1093842288
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHOMEWOODS HEIGHTS LLC
Location Address17999 SE RIVER RDMilwaukie, OR 97267-5885
Mailing Address7700 Ne Parkway Dr, Suite 300Vancouver, WA 98662-6648 · (360) 735-7155 · Fax (360) 735-9416
Fax(503) 659-8193
Organization SubpartNo
Authorized OfficialGregory J VislockyManaging Member · (360) 735-7155
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1093842288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

17999 SE RIVER RD, Milwaukie, OR 97267

Other Names 1

Doing Business AsHomewood Heights Assisted Living Community

Other Identifiers 1

Medicaid500024OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2270905

Homewood Assisted Living · Milwaukie, OR
Active · expires Oct 23, 2026
CLIA Number38D2270905
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorShannan Sandquist
Laboratory Phone(503) 659-6600
Laboratory LocationHomewood Assisted Living17999 Southeast River Road, Milwaukie, OR 97267
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
17999 SE RIVER RD
MILWAUKIE, OR 97267

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093842288, enumerated as an "organization" on February 27, 2007.

The provider is located at 17999 SE RIVER RD MILWAUKIE, OR 97267 and the phone number is (503) 659-6600.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.