Active NPI
Fernhill Estates, LLC
- Nursing Facility/Intermediate Care Facility
- Portland, OR
National Provider Identifier
1811987779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 385237
- Legal business name
- FERNHILL ESTATES, LLC
- Practice address
- 5737 NE 37TH Ave
Portland, OR 97211-7905 - Phone
- (503) 288-5967
- NPI assigned
- Oct 24, 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
- Cheryl Lynne Emerson
- Title
- Nursing Home Administrator
- Phone
- (503) 288-5967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 385237 | OR | Primary |
Addresses
Primary practice location
5737 NE 37TH Ave
Portland, OR 97211-7905
Mailing address
5737 NE 37TH Ave
Portland, OR 97211-7905
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811987779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5737 NE 37TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972117905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5737 NE 37TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972117905",
"telephone_number": "503-288-5967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNHILL ESTATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EMERSON",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "LYNNE",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "503-288-5967"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "OR",
"license": "385237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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.