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PARK VISTA RETIREMENT & ASSISTED LIVING COMMUNITY
NPI 1275746414
Point of Service in Salem, OR

Active since May 07, 2007CLIA 50D2254859 · Waiver
3220 STATE ST, SUITE 200, SALEM, OR 97301(506) 566-5715(503) 588-3531 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Park Vista Retirement & Assisted Living Community NPPES

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

PARK VISTA RETIREMENT & ASSISTED LIVING COMMUNITY (NPI 1275746414) is a healthcare organization registered as a point of service in Salem, Oregon and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kelley D Hamilton, Ceo-pres Of Manager, as its authorized official.

NPPES Registry Identity

NPI1275746414
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NamePARK VISTA RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Location Address3220 STATE ST, SUITE 200Salem, OR 97301-6872
Mailing Address2944 Se Lund AvePort Orchard, WA 98366-5547 · (360) 871-2323 · Fax (360) 871-2521
Phone(506) 566-5715
Fax(503) 588-3531
Organization SubpartNo
Authorized OfficialKelley D HamiltonCeo-pres Of Manager · (506) 566-5715
Enumeration DateMay 7, 2007
Last NPPES UpdateOctober 4, 2007
✔ NPI 1275746414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in WA · 1810
Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

3220 STATE ST, Salem, OR 97301
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Other Names 1

Doing Business AsPark Vista Retirement & Assisted Living Community

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 50D2254859

Park Vista Retirement And Assisted Living Community · Port Orchard, WA
Active · expires Apr 4, 2028
CLIA Number50D2254859
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 8, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNicole Brophy
Laboratory Phone(360) 871-2323
Laboratory LocationPark Vista Retirement And Assisted Living Community2944 SE Lund Ave, Port Orchard, WA 98366
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

ARBOR PLACE SENIOR COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
ALBANY ASSISTED LIVING LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
BRIDGEWOOD AT FOUR SEASONS LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
BEAVERTON HILLS ASSISTED LIVING RESIDENCE, LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
AUBURN MEADOWS SENIOR COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
COLUMBIA HEIGHTS RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
GRESHAM ASSISTED LIVING LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (506) 566-5715
TLC WEST, L.L.C.
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (506) 566-5715
OSWEGO PLACE ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
ORCHARD HEIGHTS SENIOR COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 577-5715
SOUTHERN HILLS ASSISTED LIVING COMMUNITY, LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
SPRING CREEK RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
SEAPORT LANDING RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
WEST HILLS ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
WOODLAND RETIREMENT & ASSISTED LIVING COMMUNTIY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
HIGH DESERT ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (506) 566-5715
ROSEBURG ASSISTED LIVING LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
OLYMPIC PLACE RETIREMENT & ASSISTED LIVING COMMUNITY LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
LONGVIEW SENIOR HOUSING LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715
PRINCETON VILLAGE ASSISTED LIVING RESIDENCE LLC
Point of Service
3220 STATE ST, SUITE 200
SALEM, OR 97301
Marion County (503) 566-5715

Frequently Asked Questions

What is PARK VISTA RETIREMENT & ASSISTED LIVING COMMUNITY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1275746414, enumerated as an "organization" on May 07, 2007.

Where is the provider located?

The provider is located at 3220 STATE ST SUITE 200 SALEM, OR 97301 and the phone number is (506) 566-5715.

What is the provider's specialty?

Point of Service with taxonomy code 305S00000X.