Organization Active NPI

Fernhill Estates, LLC

  • Nursing Facility/Intermediate Care Facility
  • Portland, OR
National Provider Identifier
1811987779
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
385237 Issued in OR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.