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AVAMERE AT NEWBERG
NPI 1659398469
Assisted Living Facility in Newberg, OR

Active since July 16, 2006CLIA 38D2197359 · Waiver
730 FOOTHILLS DR, NEWBERG, OR 97132(503) 554-0767 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avamere At Newberg NPPES

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

AVAMERE AT NEWBERG (NPI 1659398469) is a healthcare organization registered as an assisted living facility in Newberg, Oregon and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through October 22, 2026 and lists K. Rickard Miller, Manager, as its authorized official.

NPPES Registry Identity

NPI1659398469
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGENESIS NEWBERG OPERATION CO., LLC
Location Address730 FOOTHILLS DRNewberg, OR 97132-6004
Mailing Address25117 Sw Parkway Ave, Suite FWilsonville, OR 97070-9697
Phone(503) 554-0767
Organization SubpartNo
Authorized OfficialK. Rickard MillerManager · (503) 570-3405
Enumeration DateJuly 16, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1659398469 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.
730 FOOTHILLS DR, Newberg, OR 97132
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Other Names 1

Doing Business AsAvamere At Newberg

Other Identifiers 1

Medicaid505092OR

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 38D2197359

Avamere At Newberg · Newberg, OR
Active · expires Oct 22, 2026
CLIA Number38D2197359
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 23, 2024
Certificate Expiration DateOctober 22, 2026
Laboratory DirectorAngela Newsom
Laboratory Phone(503) 554-0767
Laboratory LocationAvamere At Newberg730 Foothills Drive, Newberg, OR 97132
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 2

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

MS. JEANNE ELLEN HAISLIP OT
Occupational Therapist
730 FOOTHILLS DR
NEWBERG, OR 97132
Yamhill County (503) 554-0767
PREMERE REHAB LLC
Physical Therapist
730 FOOTHILLS DR
NEWBERG, OR 97132
Yamhill County (503) 554-0767

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 Genesis Newberg Operation Co., LLC's NPI number?

The NPI number for Genesis Newberg Operation Co., LLC is 1659398469. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Avamere At Newberg.

Where is Genesis Newberg Operation Co., LLC located?

Genesis Newberg Operation Co., LLC is located at 730 Foothills Dr, Newberg, OR 97132. The listed phone number is (503) 554-0767.

What is Genesis Newberg Operation Co., LLC's specialty?

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

Does Genesis Newberg Operation Co., LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2197359) is associated with this NPI, valid through October 22, 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 Genesis Newberg Operation Co., 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.