Joro Adult Foster Care Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

JORO ADULT FOSTER CARE HOME LLC

Practice address

3737 NE 135TH Ave
Portland, OR 97230-2722

Phone

(503) 208-3799

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gebi Dakebo Genemo, RNNPI 1578001749

Title

Owner

Phone

(813) 842-8699

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gebi Dakebo Genemo, RN

  • Registered Nurse
  • Happy Valley, OR
  • NPI 1578001749
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1356023659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 NE 135TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302722",
            "telephone_number": "503-208-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 NE 135TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972302722",
            "telephone_number": "503-208-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORO ADULT FOSTER CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "GENEMO",
        "authorized_official_first_name": "GEBI",
        "authorized_official_middle_name": "DAKEBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-842-8699",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Jorgensen, LCSW
• Kellen Jorgensen
• Kendall Cathleen Jorgensen, LCSW
• Nicholas Boyd Jorgensen, MD
• Samantha Jorgensen, MS, LPC
• Jory Counseling Center LLC
• Joseph a Parent Jr MD PC
• Joseph a. Graffeo, D.C., P.C. (Graffeo Chiropractic Clinic)
• Joseph P Meurer Jr MD (The Eye Group Dispensary LLC)
• Joseph P Sonderleiter, MD, PC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, OR
• Providers in Portland, OR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.