Provider Demographics
NPI:1922093889
Name:ERNMAUR INC
Entity Type:Organization
Organization Name:ERNMAUR INC
Other - Org Name:MARIAN ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-769-3499
Mailing Address - Street 1:390 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SUBLIMITY
Mailing Address - State:OR
Mailing Address - Zip Code:97385
Mailing Address - Country:US
Mailing Address - Phone:503-769-3499
Mailing Address - Fax:503-769-3569
Practice Address - Street 1:390 CHURCH ST.
Practice Address - Street 2:
Practice Address - City:SUBLIMITY
Practice Address - State:OR
Practice Address - Zip Code:97385
Practice Address - Country:US
Practice Address - Phone:503-769-3499
Practice Address - Fax:503-769-3569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-16
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR804096Medicaid
OR38-5240Medicare ID - Type Unspecified