Provider Demographics
NPI:1174767727
Name:SINAI FAMILY HOME SERVICES
Entity type:Organization
Organization Name:SINAI FAMILY HOME SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:B
Authorized Official - Last Name:BURNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:503-542-0088
Mailing Address - Street 1:7412 SW BEAVERTON HILLSDALE HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-2167
Mailing Address - Country:US
Mailing Address - Phone:503-542-0088
Mailing Address - Fax:503-542-0077
Practice Address - Street 1:7412 SW BEAVERTON HILLSDALE HWY STE 106
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-2167
Practice Address - Country:US
Practice Address - Phone:503-542-0088
Practice Address - Fax:503-542-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR152169253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR127766Medicaid