AVAMERE AT ST. HELENS
NPI 1417974239
Assisted Living Facility in Saint Helens, OR

NPI Status: Active since July 16, 2006

Contact Information

2400 GABLE RD
SAINT HELENS, OR
ZIP 97051
Phone: (503) 366-8070

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 38D2194955
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 10-04-2026

About AVAMERE AT ST. HELENS

This page provides the complete NPI Profile along with additional information for Avamere At St. Helens, a provider established in Saint Helens, Oregon operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1417974239 assigned on July 2006. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Avamere At St. Helens. The authorized official of this NPI record is K. Rickard Miller Jr. (Manager)

NPI
1417974239
Provider Legal Name
AVAMERE ST. HELENS OPERATIONS, LLC
Other Organization Name
AVAMERE AT ST. HELENS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2400 GABLE RD SAINT HELENS, OR 97051
Location Phone
(503) 366-8070
Mailing Address
25117 SW PARKWAY AVE SUITE F WILSONVILLE, OR 97070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2006
Last Update Date
07-30-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

K. RICKARD MILLER JR.

Authorized Official Title
MANAGER
Authorized Official Phone
(503) 570-3405

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
508815MEDICAID (05)OR 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D2194955
Facility Type
Assisted Living Facility
Certificate Effective Date
October 05, 2024
Certificate Expiration Date
October 04, 2026
Laboratory Director
MATTHEW WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avamere At St. Helens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417974239, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 1 + 8 + 7 + 8 + 2 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1417974239.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
2400 GABLE RD
SAINT HELENS, OR 97051

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417974239, enumerated as an "organization" on July 16, 2006.

The provider is located at 2400 GABLE RD SAINT HELENS, OR 97051 and the phone number is (503) 366-8070.

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.