NPIMap

Organization Active NPI

Marquis Companies I, Inc

Doing business as Marquis Care at Centennial

  • Skilled Nursing Facility
  • Portland, OR
National Provider Identifier
1932211968
Registry record updated Oct 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MARQUIS COMPANIES I, INC
Doing business as
Marquis Care at Centennial
Practice address
725 SE 202ND Ave
Portland, OR 97233-6105
Phone
(503) 665-3118
Fax
(503) 674-5759
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Phil Fogg
Title
President
Phone
(971) 206-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

725 SE 202ND Ave
Portland, OR 97233-6105

Mailing address

725 SE 202ND Ave
Portland, OR 97233-6105
Phone (503) 665-3118

Other identifiers 1

IdentifierTypeStateIssuer
800792MedicaidOR

Other names 1

  • Marquis Care at Centennial 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
38D0702734Marquis Care at Centennial725 SE 202ND Ave, Portland, OR 97233Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marquis Companies II Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1932211968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE 202ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972336105",
            "telephone_number": "503-665-3118",
            "fax_number": "503-674-5759"
        },
        {
            "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",
            "fax_number": "503-674-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS COMPANIES I, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "FOGG",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "971-206-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800792",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquis Care at Centennial",
            "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 Oct 22, 2008; 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.