Active NPI
Marquis Companies II, Inc.
- Skilled Nursing Facility
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MARQUIS COMPANIES II, INC.
- Practice address
- 725 SE 202ND Ave
Portland, OR 97233-6105 - Phone
- (503) 665-3118
- NPI assigned
- Mar 11, 2015
- 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
- Phillip Guy Fogg Jr.
- Title
- President/Ceo
- Phone
- (971) 206-5200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | OR | Primary |
Addresses
Primary practice location
725 SE 202ND Ave
Portland, OR 97233-6105
Mailing address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Phone (971) 206-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500684537 | Medicaid | OR |
Other names 1
- Marquis Centennial Post Acute Rehab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150505001615 | OR | Part A Provider - Skilled Nursing Facility | 4688819188 | Practice locations: Portland, OR |
Skilled nursing facility certification: CCN 385183
- Legal name
- MARQUIS COMPANIES II INC
- Doing business as
- MARQUIS CENTENNIAL POST ACUTE REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 26, 1988
- Last certification
- May 3, 2024
- Beds
- 80
- Ownership / control type
- Corporation
- Multi-facility organization
- Marquis Companies
- Organization structure
- Corporation
- Incorporated
- Jun 22, 2012 in OR
- Enrollment address
- 725 SE 202ND Ave
Portland, OR 97233-6105 - Nursing home name
- MARQUIS CENTENNIAL POST ACUTE REHAB
- Affiliated entity
- MARQUIS COMPANIES
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Marquis Centennial Post Acute Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 26, 1988
- Medicare certification status
- Active
- Certified beds
- 80
- Chain
- Marquis Companies
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Marquis Companies II Inc
Other organizations with this tax ID 13
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1659474948
-
- Skilled Nursing Facility
- Wilsonville, OR
- NPI 1659483634
-
- Skilled Nursing Facility
- Oregon City, OR
- NPI 1659483691
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1932211968
-
- Skilled Nursing Facility
- Tualatin, OR
- NPI 1134547284
-
- Skilled Nursing Facility
- Oregon City, OR
- NPI 1780027367
-
- Assisted Living Facility
- Forest Grove, OR
- NPI 1811371859
-
- Skilled Nursing Facility
- Klamath Falls, OR
- NPI 1982180840
-
- Skilled Nursing Facility
- Forest Grove, OR
- NPI 1104219559
-
- Nursing Facility/Intermediate Care Facility
- Portland, OR
- NPI 1295178887
-
- Skilled Nursing Facility
- Wilsonville, OR
- NPI 1679916266
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1861835456
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Phillip G Fogg | 5% Or Greater Indirect Ownership Interest | Jun 22, 2012 | 100% |
| Corporate Officer | Jun 22, 2012 | 100% | |
| Marquis Companies I, Inc | 5% Or Greater Direct Ownership Interest | May 1, 2015 | 100% |
| Operational/Managerial Control | May 1, 2015 | ||
| Amy Stone | Operational/Managerial Control | May 1, 2015 | 100% |
| Steven C Fogg | Contracted Managing Employee | May 1, 2015 | 100% |
| Corporate Officer | Jun 22, 2012 | 100% | |
| Operational/Managerial Control | May 1, 2015 | 100% | |
| Kathleen C Levee | Contracted Managing Employee | May 1, 2015 | 100% |
| Operational/Managerial Control | May 1, 2015 | 100% | |
| Meagan E English | Contracted Managing Employee | May 1, 2015 | 100% |
| Operational/Managerial Control | May 1, 2015 | 100% | |
| Staci Lynne Tone | W-2 Managing Employee | Jun 22, 2012 | 10% |
| Operational/Managerial Control | May 1, 2015 | 10% |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Skilled Nursing Facility
- Canby, OR
- NPI 1447362405
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1508978537
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Springfield, OR
- NPI 1760586085
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1942312905
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Newberg, OR
- NPI 1528063062
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Redding, CA
- NPI 1598750358
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Las Vegas, NV
- NPI 1194045336
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Facilities with the same owner 16
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Milwaukie, OR
- NPI 1659088417
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1508978537
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Springfield, OR
- NPI 1760586085
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Portland, OR
- NPI 1942312905
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Newberg, OR
- NPI 1528063062
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Tualatin, OR
- NPI 1134547284
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Oregon City, OR
- NPI 1780027367
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Klamath Falls, OR
- NPI 1982180840
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Forest Grove, OR
- NPI 1104219559
Marquis Companies I, Inc
-
- Skilled Nursing Facility
- Wilsonville, OR
- NPI 1679916266
Marquis Companies I, Inc
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1265721047
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436832000000",
"number": "1871986182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628",
"telephone_number": "971-206-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 SE 202ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972336105",
"telephone_number": "503-665-3118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARQUIS COMPANIES II, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-11",
"last_updated": "2015-07-14",
"status": "A",
"authorized_official_last_name": "FOGG",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "GUY",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "971-206-5200",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500684537",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marquis Centennial Post Acute Rehab",
"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 Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.