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ROSE VILLA SENIOR LIVING
NPI 1679819411
Nursing Facility/Intermediate Care Facility in Portland, OR

Active since December 26, 2012CLIA 38D0907174 · Waiver
13505 SE RIVER RD, PORTLAND, OR 97222(503) 654-3171 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rose Villa Senior Living NPPES

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

ROSE VILLA SENIOR LIVING (NPI 1679819411) is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Erin Cornell, Director Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1679819411
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameROSE VILLA, INC.
Location Address13505 SE RIVER RDPortland, OR 97222-8038
Mailing Address13505 Se River RdPortland, OR 97222-8038 · (503) 654-3171
Phone(503) 654-3171
Organization SubpartNo
Authorized OfficialErin CornellDirector Of Health Services · (503) 652-3282
Enumeration DateDecember 26, 2012
✔ NPI 1679819411 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
License✔ Licensed in OR · 1352498888
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.
13505 SE RIVER RD, Portland, OR 97222
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Other Names 1

Doing Business AsRose Villa Senior Living

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 38D0907174

Rose Villa Health Care Center Laboratory · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0907174
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorErin Cornell
Laboratory Phone(503) 652-2324
Laboratory LocationRose Villa Health Care Center Laboratory13505 SE River Road, Portland, OR 97222
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

PREMERE REHAB LLC
Physical Therapist
13505 SE RIVER RD
PORTLAND, OR 97222
Clackamas County (503) 652-4011
GREGORY VANSANTVOORD CAMP MD
Internal Medicine
13505 SE RIVER RD
MILWAUKIE, OR 97222
Clackamas County (505) 652-3261
MS. LYSSE E WARING M.O.T.R/L
Occupational Therapist
13505 SE RIVER RD
PORTLAND, OR 97222
Clackamas County (503) 652-4011
LAURI ELIZABETH LAC
Acupuncturist
13505 SE RIVER RD
PORTLAND, OR 97222
Clackamas County (503) 816-1443

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 Rose Villa, Inc.'s NPI number?

The NPI number for Rose Villa, Inc. is 1679819411. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Rose Villa Senior Living.

Where is Rose Villa, Inc. located?

Rose Villa, Inc. is located at 13505 SE River Rd, Portland, OR 97222. The listed phone number is (503) 654-3171.

What is Rose Villa, Inc.'s specialty?

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

Does Rose Villa, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0907174) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rose Villa, Inc. was last updated on December 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.