Active NPI
Robison Jewish Home
- Skilled Nursing Facility
- Portland, OR
National Provider Identifier
1750377115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- ROBISON JEWISH HOME
- Practice address
- 6125 SW Boundary St
Portland, OR 97221-1019 - Phone
- (503) 535-4300
- Fax
- (503) 535-4330
- NPI assigned
- Sep 21, 2005
- 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. David H Fuks, MSW
- Title
- Chief Executive Officer
- Phone
- (503) 535-4307
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NOT LISTED | OR | |
| Alzheimer Center (Dementia Center) | 311500000X | |||
| Custodial Care Facility | 311Z00000X | |||
| Nursing Facility/Intermediate Care Facility | 313M00000X | |||
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
6125 SW Boundary St
Portland, OR 97221-1019
Mailing address
6125 SW Boundary St
Portland, OR 97221-1019
Phone (503) 535-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801571 | Medicaid | OR |
Other names 1
- Cedar Sinai Park, Robison Jewish Health Center, Rose Schnitzer Manor
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0681672 | Robison Jewish Home | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429833600000",
"number": "1750377115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 SW BOUNDARY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211019",
"telephone_number": "503-535-4300",
"fax_number": "503-535-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 SW BOUNDARY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972211019",
"telephone_number": "503-535-4300",
"fax_number": "503-535-4330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBISON JEWISH HOME",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2015-04-24",
"status": "A",
"authorized_official_last_name": "FUKS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "503-535-4307",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "OR",
"license": "NOT LISTED",
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "801571",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cedar Sinai Park, Robison Jewish Health Center, Rose Schnitzer Manor",
"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 Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.