Active NPI
Cornerstone Care Option
- Nursing Facility/Intermediate Care Facility
- Portland, OR
National Provider Identifier
1437180486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 801089
- Legal business name
- CORNERSTONE CARE OPTION
- Practice address
- 12640 SE Bush St
Portland, OR 97236-3423 - Phone
- (503) 761-6621
- Fax
- (503) 761-6633
- NPI assigned
- Jul 6, 2006
- Last updated
- Aug 22, 2020
- 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
- Kevin Scott McKay
- Title
- Administrator/Owner
- Phone
- (503) 761-6621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 801089 | OR | Primary |
Addresses
Primary practice location
12640 SE Bush St
Portland, OR 97236-3423
Mailing address
12640 SE Bush St
Portland, OR 97236-3423
Phone (503) 761-6621
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Cornerstone Residential Option
- Assisted Living Facility
- Portland, OR
- NPI 1669099586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437180486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12640 SE BUSH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363423",
"telephone_number": "503-761-6621",
"fax_number": "503-761-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 SE BUSH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972363423",
"telephone_number": "503-761-6621",
"fax_number": "503-761-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE CARE OPTION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCKAY",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
"authorized_official_telephone_number": "503-761-6621"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OR",
"license": "801089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
- Cornell Eyecare Group, Inc (Cornell Eyecare Group)
- Cornell Family Dental
- Cornell Family Medicine
- Alexandra Gately Cornell, M.D.
- Corner Health Medical Group Northwest, P.C.
- Cornerstone Care Option, Inc. (Cornerstone Residential Option)
- Cornerstone Natural Medicine LLC
- Estonia Cornett
- Kelvina Cornett
- Patrick James Corning, D.M.D., MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.