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AVALON CARE CENTER - PORTLAND
NPI 1538813670
Nursing Facility/Intermediate Care Facility in Portland, OR

Active since February 08, 2022CLIA 38D0684433 · Waiver
4/5
Overall Rating
12640 SE BUSH ST, PORTLAND, OR 97236(503) 761-6621 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Aug 10, 2022, Feb 18, 2022 and 1 more (4 updates tracked since 2022).

About Avalon Care Center - Portland NPPES

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

AVALON CARE CENTER - PORTLAND (NPI 1538813670) is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Charles Kirton, Ceo/chairman, as its authorized official.

NPPES Registry Identity

NPI1538813670
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameAVALON CARE CENTER - PORTLAND LLC
Location Address12640 SE BUSH STPortland, OR 97236-3423
Mailing Address206 N 2100 WSalt Lake City, UT 84116-4740 · (801) 596-8844
Phone(503) 761-6621
Organization SubpartNo
Authorized OfficialCharles KirtonCeo/chairman · (801) 596-8844
Enumeration DateFebruary 8, 2022
Last NPPES UpdateAugust 17, 20224 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1538813670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
12640 SE BUSH ST, Portland, OR 97236
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Other Names 2

Doing Business AsAvalon Care Center - Portland
Doing Business AsAvalon Residential Care Center Portland

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 38D0684433

Avalon Care Center - Portland · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0684433
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorTatyana Kashpar
Laboratory Phone(503) 761-6621
Laboratory LocationAvalon Care Center - Portland12640 SE Bush St, Portland, OR 97236
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Avalon Care Center - Portland (CMS certification number 38E173), from CMS Care Compare.

Avalon Care Center - Portland

Nursing home · Portland, OR
4/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number38E173
Certified Beds40 beds38 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 1976
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
52.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 4.66 · LPN 0.72 · RN 0.47
5.85 hrs per resident per day
Weekend Nurse Staffing
5.37 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
39.3%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
12
Infection-Control Citations
4
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

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

CORNERSTONE CARE OPTION
Nursing Facility/Intermediate Care Facility
12640 SE BUSH ST
PORTLAND, OR 97236
Multnomah County (503) 761-6621
CORNERSTONE CARE OPTION, INC.
Assisted Living Facility
12640 SE BUSH ST
PORTLAND, OR 97236
Multnomah County (503) 761-6621

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 Avalon Care Center - Portland LLC's NPI number?

The NPI number for Avalon Care Center - Portland LLC is 1538813670. It was assigned to this organization in the NPPES registry on February 8, 2022. The provider is doing business as Avalon Care Center - Portland and Avalon Residential Care Center Portland.

Where is Avalon Care Center - Portland LLC located?

Avalon Care Center - Portland LLC is located at 12640 SE Bush St, Portland, OR 97236. The listed phone number is (503) 761-6621.

What is Avalon Care Center - Portland LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Avalon Care Center - Portland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0684433) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Avalon Care Center - Portland LLC a Medicare-certified nursing home?

Yes. Avalon Care Center - Portland is a Medicare-certified nursing home with 40 certified beds.

What quality rating does Avalon Care Center - Portland LLC have?

CMS rates Avalon Care Center - Portland 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Avalon Care Center - Portland LLC was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.