PORTLAND HEALTH & REHABILITATION CENTER
NPI 1104530492
Skilled Nursing Facility in Portland, OR

Active since January 11, 2023CLIA 38D0625258 · Waiver
2/5
Overall Rating
12441 SE STARK ST, PORTLAND, OR 97233(503) 255-7040 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Jan 11, 2023 (2 updates tracked since 2023).

About Portland Health & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND HEALTH & REHABILITATION CENTER (NPI 1104530492) is a healthcare organization registered as a skilled nursing facility in Portland, Oregon and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Yitzchok Yenowitz, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1104530492
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePORTLAND SNF OPERATIONS, LLC
Location Address12441 SE STARK STPortland, OR 97233-1053
Mailing Address1777 Avenue Of The States Ste 102Lakewood, NJ 08701-4779 · (732) 366-8300 · Fax (732) 523-5312
Organization SubpartNo
Authorized OfficialYitzchok YenowitzAuthorized Representative · (323) 333-0910
Enumeration DateJanuary 11, 2023
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1104530492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
12441 SE STARK ST, Portland, OR 97233

Other Names 1

Doing Business AsPortland Health & Rehabilitation Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0625258

Portland Health & Rehabilitation Center · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0625258
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Christopher Morris
Laboratory Phone(503) 255-7040
Laboratory LocationPortland Health & Rehabilitation Center12441 SE Stark St, Portland, OR 97233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Portland Health & Rehabilitation Center (CMS certification number 385228), from CMS Care Compare.

Portland Health & Rehabilitation Center

Nursing home · Portland, OR
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number385228
Certified Beds105 beds48 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1992
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
89.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 3.19 · LPN 1.13 · RN 0.63
4.95 hrs per resident per day
Weekend Nurse Staffing
4.24 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
55.4%
Registered Nurse Turnover
62.5%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
13
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Occupational Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Specialist
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Speech-Language Pathologist
12441 SE STARK ST
PORTLAND, OR 97233
Physical Therapy Assistant
12441 SE STARK ST
PORTLAND, OR 97233
Occupational Therapist
12441 SE STARK ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Snf Operations, LLC's NPI number?

The NPI number for Portland Snf Operations, LLC is 1104530492. It was assigned to this organization in the NPPES registry on January 11, 2023. The provider is doing business as Portland Health & Rehabilitation Center.

Where is Portland Snf Operations, LLC located?

Portland Snf Operations, LLC is located at 12441 SE Stark St, Portland, OR 97233. The listed phone number is (503) 255-7040.

What is Portland Snf Operations, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Portland Snf Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0625258) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Portland Snf Operations, LLC a Medicare-certified nursing home?

Yes. Portland Health & Rehabilitation Center is a Medicare-certified nursing home with 105 certified beds.

What quality rating does Portland Snf Operations, LLC have?

CMS rates Portland Health & Rehabilitation Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Portland Snf Operations, LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Portland Snf Operations, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Snf Operations, LLC was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.