ALBERTINA KERR (NPI# 1568639078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568639078 |
| Entity Type | Organization |
| Organization Name | ALBERTINA KERR |
| Practice Address |
722 Ne 162nd Ave Portland OR 97230-5760 |
| Practice Telephone | 5037092806 |
| Mailing Telephone | 5037092806 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | MR. GREG J BARON (SKILLS TRAINER, CARE COORDINATOR) |
| Authorized Official Telephone | 5037092806 |
| Authorized Official Credential | BA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881071900 | Albertina Kerr | Community/Behavioral Health | 9830 Ne Cascades Pkwy Ste 200, Portland, OR 97220-6834 | 2015-04-27 |
| 1891929568 | Albertina Kerr | Community/Behavioral Health | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2009-05-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALBERTINA KERR | 424 Ne 22nd Ave, Portland, OR 97232-2809 |
| Oregon Corporations, Companies and Business Names | ALBERTINA KERR CENTERS | 424 Ne 22nd Ave, Portland, OR 97232 |
| Oregon Corporations, Companies and Business Names | ALBERTINA KERR CENTERS FOUNDATION, INC. | 424 Ne 22nd Ave, Portland, OR 97232 |
| Street Address |
722 NE 162ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97230-5760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235237983 | Catherine N. Knox | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2006-09-20 |
| 1548860463 | Michele Renee Coon | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-10-29 |
| 1710594551 | Anna Christine Peaslee | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-09-25 |
| 1164040739 | Samantha Bedker | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-07-10 |
| 1417572033 | Veronica Shiu Knight | Social Worker | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-06-09 |
| 1215550850 | Nathalie Wuebkes | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-05-18 |
| 1104446509 | Erin Marie Mcdermott | Behavior Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-04-26 |
| 1174150536 | Jessica Schnur | Marriage & Family Therapist | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2020-03-25 |
| 1710529714 | Dickovita Kankanamge Nirmani Tilakasena | Counselor | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-10 |
| 1568003978 | Sarah Lehman | Technician | 722 Ne 162nd Ave, Portland, OR 97230-5760 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687233 | Timisha K Wilson | Social Worker | 12505 Ne Halsey St, Portland, OR 97230 | 2018-07-30 |
| 1356828768 | Sally Gail Logan | Pharmacist | 5725 Ne 138th Avenue, Portland, OR 97230 | 2018-07-27 |
| 1063937951 | Marley Elizabeth Small | Counselor | 1507 Ne 122nd Ave., Portland, OR 97230 | 2017-08-11 |
| 1447771316 | Shadab Nasreen Aijazi | Pathology | 5220 Ne 122nd Avenue, Portland, OR 97230 | 2017-06-30 |
| 1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
| 1164972675 | Rachael Anderson | Adult Companion | 423 Ne 160th Ave #11, Portland, OR 97230 | 2016-10-07 |
| 1750837597 | Providence Elderplace | Assisted Living Facility | 16430 Ne Hoyt St, Portland, OR 97230 | 2016-08-31 |
| 1649622473 | Sara Mcgroarty | Counselor | 17710 Ne Halsey Street, Portland, OR 97230 | 2016-07-05 |
| 1346699949 | Steven D Stanton | Counselor | 1022 Ne 181st Ave, C1, Portland, OR 97230 | 2016-06-06 |
| 1215390091 | The Wallace Medical Concern | Clinic/Center | 18139 Ne Couch Street, Portland, OR 97230 | 2016-03-30 |
| Find all providers in zip 97230 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154948206 | Quality Care Access, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Wayne St, Portland, ME 04102-2228 | 2020-07-05 |
| 1538705637 | Grace Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 86 Euclid Ave, Portland, ME 04103-1240 | 2019-11-23 |
| 1467097709 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1395 Congress St, Portland, ME 04102-2120 | 2019-11-11 |
| 1306480108 | Pine Peak Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Sara Ln, Portland, ME 04103-3622 | 2019-11-05 |
| 1578069415 | Outfront Jb Family Residential Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 41 Front St, Portland, ME 04103-4951 | 2018-03-31 |
| 1023356391 | Trust Home Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10706 Sw Capitol Hwy Apt 58, Portland, OR 97219-6880 | 2013-01-22 |
| 1700116639 | Care and Hope Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2 Horton Pl # 1, Portland, ME 04102-3310 | 2009-12-25 |
| 1427414473 | Seneca Behavioral Health, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 68 Bishop St, Portland, ME 04103-2681 | 2016-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907960 | Tandem Northwest, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 348 Dennis Ln N, Keizer, OR 97303-5936 | 2020-06-23 |
| 1184240558 | Community Access Services II, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1815 Nw 169th Pl Ste 1060, Beaverton, OR 97006-7365 | 2020-06-22 |
| 1134619752 | Asd Stepping Stones To Success | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 91145 N Willamette St Ste 8211, Coburg, OR 97408-9700 | 2018-05-18 |
| 1669864724 | Visions LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 E Broadway Ste 100, Eugene, OR 97401-3175 | 2015-02-26 |
| 1417375270 | Educational Training Program Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15420 Forsythe Rd, Oregon City, OR 97045-8742 | 2014-03-30 |
| 1255678157 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1555 Post St, Lebanon, OR 97355-4060 | 2013-01-11 |
| 1881931798 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3415 Columbia View Dr, The Dalles, OR 97058-9703 | 2013-01-11 |
| 1255676078 | Renew Consulting, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8129 Sw 168th Ave, Beaverton, OR 97007-6504 | 2012-12-05 |
| 1285978569 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 704 38th Ave Se, Albany, OR 97322-3807 | 2012-11-27 |
| 1427354844 | Renew Consulting, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 127 Broadalbin St Sw, Albany, OR 97321-2200 | 2011-02-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.