AVAMERE AT SANDY
NPI 1538186341
Assisted Living Facility in Sandy, OR

Active since July 16, 2006CLIA 38D2194940 · Waiver
17727 SE LANGENSAND RD, SANDY, OR 97055(503) 668-4199 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avamere At Sandy NPPES

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

AVAMERE AT SANDY (NPI 1538186341) is a healthcare organization registered as an assisted living facility in Sandy, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists K. Rickard Miller, Manager, as its authorized official.

NPPES Registry Identity

NPI1538186341
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAVAMERE SANDY OPERATIONS, LLC
Location Address17727 SE LANGENSAND RDSandy, OR 97055-6487
Mailing Address25117 Sw Parkway Ave, Suite FWilsonville, OR 97070-9697
Organization SubpartNo
Authorized OfficialK. Rickard MillerManager · (503) 570-3405
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 30, 2008
NPI 1538186341 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.
17727 SE LANGENSAND RD, Sandy, OR 97055

Other Names 1

Doing Business AsAvamere At Sandy

Other Identifiers 1

Medicaid507078OR

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 38D2194940

Avamere At Sandy · Sandy, OR
Active · expires Oct 4, 2026
CLIA Number38D2194940
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorAlex Vinokurov
Laboratory Phone(503) 668-4199
Laboratory LocationAvamere At Sandy17727 SE Langensand Road, Sandy, OR 97055
CLIA data matches this NPI record on: Address Name 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.

Physical Therapist
17727 SE LANGENSAND RD
SANDY, OR 97055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avamere Sandy Operations, LLC's NPI number?

The NPI number for Avamere Sandy Operations, LLC is 1538186341. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Avamere At Sandy.

Where is Avamere Sandy Operations, LLC located?

Avamere Sandy Operations, LLC is located at 17727 SE Langensand Rd, Sandy, OR 97055. The listed phone number is (503) 668-4199.

What is Avamere Sandy Operations, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Avamere Sandy Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2194940) is associated with this NPI, valid through October 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avamere Sandy Operations, LLC was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.