Organization Active NPI

Robison Jewish Home

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1750377115
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Apr 24, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
801571MedicaidOR

Other names 1

  • Cedar Sinai Park, Robison Jewish Health Center, Rose Schnitzer Manor Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0681672Robison Jewish Home6125 SW Boundary St, Portland, OR 97221Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.