1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Assisted Living Facility
  6. NPI Profile

YSA GROUP OPERATING COMPANY LLC
NPI 1639978224
Assisted Living Facility in Portland, OR

Active since March 07, 2025
12221 SE KELLY ST, PORTLAND, OR 97236(503) 954-2561 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ysa Group Operating Company Llc NPPES

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

YSA GROUP OPERATING COMPANY LLC (NPI 1639978224), doing business as Kellyville Rcf, is a healthcare organization registered as an assisted living facility in Portland, Oregon and active in the NPI registry since March 2025. The organization lists Anthony Ton, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1639978224
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameYSA GROUP OPERATING COMPANY LLC
Location Address12221 SE KELLY STPortland, OR 97236-3231
Mailing Address12221 Se Kelly StPortland, OR 97236-3231 · (503) 954-2561
Phone(503) 954-2561
Organization SubpartNo
Authorized OfficialAnthony TonManaging Director · (503) 805-0677
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
✔ NPI 1639978224 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.
12221 SE KELLY ST, Portland, OR 97236
Open in Google Maps ↗

Other Names 1

Doing Business AsKellyville Rcf

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 Ysa Group Operating Company LLC's NPI number?

The NPI number for Ysa Group Operating Company LLC is 1639978224. It was assigned to this organization in the NPPES registry on March 7, 2025. The provider is doing business as Kellyville RCF.

Where is Ysa Group Operating Company LLC located?

Ysa Group Operating Company LLC is located at 12221 SE Kelly St, Portland, OR 97236. The listed phone number is (503) 954-2561.

What is Ysa Group Operating Company LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ysa Group Operating Company LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.