ROBISON JEWISH HOME
Assisted Living Facility
Portland, Oregon
Provider NPI: 1750377115
Organization Information:Organization Name: ROBISON JEWISH HOME
Practice Location:
6125 SW BOUNDARY ST PORTLAND, OR 97221 US
Tel: 503-535-4300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6125 SW BOUNDARY ST PORTLAND, OR 97221 US
Tel: 503-535-4300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | ||
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | ||
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | ||
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OR | NOT LISTED |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
801571 | OR | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin