Active NPI
Sinai Family Home Services
- In Home Supportive Care Agency
- Portland, OR
National Provider Identifier
1174767727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 152169
- Legal business name
- SINAI FAMILY HOME SERVICES
- Practice address
- 7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167 - Phone
- (503) 542-0088
- Fax
- (503) 542-0077
- NPI assigned
- Apr 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul B Burnstein, MA
- Title
- Executive Director
- Phone
- (503) 542-0088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 152169 | OR | Primary |
Addresses
Primary practice location
7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167
Mailing address
7412 SW Beaverton Hillsdale Hwy Ste 106
Portland, OR 97225-2167
Phone (503) 542-0088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127766 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1174767727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 106",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252167",
"telephone_number": "503-542-0088",
"fax_number": "503-542-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7412 SW BEAVERTON HILLSDALE HWY STE 106",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252167",
"telephone_number": "503-542-0088",
"fax_number": "503-542-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SINAI FAMILY HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "BURNSTEIN",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "503-542-0088",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OR",
"license": "152169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127766",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.