Organization Active NPI

Harbor Care Corporation

  • Nursing Facility/Intermediate Care Facility
  • Portland, OR
National Provider Identifier
1629008651
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
800091 Issued in OR
Legal business name
HARBOR CARE CORPORATION
Doing business as
Harbor Care Reedwood
Practice address
3540 SE Francis St
Portland, OR 97202-3350
Phone
(503) 232-5767
Fax
(503) 234-4162
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Marcus Lester
Title
Ceo
Phone
(503) 232-5767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 800091 OR Primary
Skilled Nursing Facility 314000000X 800091 OR

Addresses

Primary practice location

3540 SE Francis St
Portland, OR 97202-3350

Mailing address

3540 SE Francis St
Portland, OR 97202-3350

Other identifiers 1

IdentifierTypeStateIssuer
800091MedicaidOR

Other names 1

  • Harbor Care Reedwood Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1629008651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SE FRANCIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023350",
            "telephone_number": "503-232-5767",
            "fax_number": "503-234-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-232-5767"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": "800091",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800091",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800091",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Care Reedwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2007; 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.