SAPPHIRE AT GRACELEN LLC
NPI 1871368753
Nursing Facility/Intermediate Care Facility in Portland, OR

Q: What is Sapphire At Gracelen LLC's NPI number?

The NPI number for Sapphire At Gracelen LLC is 1871368753. It was assigned to this organization in the NPPES registry on November 20, 2023. The provider is doing business as Gracelen Care Center.

Q: What is Sapphire At Gracelen LLC's specialty?

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

Active since November 20, 2023CLIA 38D0625330 · Waiver

10948 SE BOISE ST, PORTLAND, OR 97266(503) 760-1727 Get Directions Write a Review

NPPES record last updated: November 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2025, Nov 20, 2023 (2 updates tracked since 2023).

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About Sapphire At Gracelen Llc NPPES

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

SAPPHIRE AT GRACELEN LLC (NPI 1871368753), doing business as Gracelen Care Center, is a healthcare organization registered as a nursing facility/intermediate care facility in Portland, Oregon and active in the NPI registry since November 2023. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Kevin Michael Ricker, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1871368753

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameSAPPHIRE AT GRACELEN LLC

Location Address10948 SE BOISE STPortland, OR 97266-2202

Mailing Address305 Ne 102nd Ave Ste 250Portland, OR 97220-4170 · (503) 887-7395

Phone(503) 760-1727

Organization SubpartNo

Authorized OfficialKevin Michael RickerManaging Member · (503) 887-7395

Enumeration DateNovember 20, 2023

Last NPPES UpdateNovember 28, 20252 updates tracked since enumeration

NPPES CertifiedNovember 28, 2025

✔ NPI 1871368753 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.

10948 SE BOISE ST, Portland, OR 97266

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Other Names 1

Doing Business AsGracelen Care Center

Other Identifiers 1

Medicaid500829852OR

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 38D0625330

Sapphire At Gracelen Terrace · Portland, OR

Active · expires Dec 31, 2027

CLIA Number38D0625330

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateJanuary 1, 2026

Certificate Expiration DateDecember 31, 2027

Laboratory DirectorBryan C. Morris

Laboratory Phone(503) 760-1727

Laboratory LocationSapphire At Gracelen Terrace10948 SE Boise St, Portland, OR 97266

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.

DR. SUSAN G. RATHBUN D.P.M.

Podiatrist

10948 SE BOISE ST
PORTLAND, OR 97266

Multnomah County (503) 317-4911

H & L CARE CENTERS,INC.

Nursing Facility/Intermediate Care Facility

10948 SE BOISE ST
PORTLAND, OR 97266

Multnomah County (503) 760-1727

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 Sapphire At Gracelen LLC's NPI number?

The NPI number for Sapphire At Gracelen LLC is 1871368753. It was assigned to this organization in the NPPES registry on November 20, 2023. The provider is doing business as Gracelen Care Center.

Where is Sapphire At Gracelen LLC located?

Sapphire At Gracelen LLC is located at 10948 SE Boise St, Portland, OR 97266. The listed phone number is (503) 760-1727.

What is Sapphire At Gracelen LLC's specialty?

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

Does Sapphire At Gracelen LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0625330) 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 Sapphire At Gracelen LLC was last updated on November 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.