selection: care certification: private and medicaid category: afh … · 2021. 3. 23. · 10146...
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License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
1783 501188 AARON, HELLEN 11/24/2014 3 - Heavy Care AFH 4 Yes No
13444 NE HALSEY ST PORTLAND OR 97230 (503) 257-0483
10524 518850 ACELAR, RHODALE V 09/18/2014 2 - Moderate Care AFH 5 Yes No
8830 NE SACRAMENTO ST
PORTLAND OR 97220 (503) 408-1135
10442 517648 ACHIM, DENISE GABRIELLE
09/03/2014 2 - Moderate Care AFH 5 No No
217 NW ROYAL AVE GRESHAM OR 97030 (503) 674-6825
10681 520398 ACHIM, ILEANA 11/08/2014 2 - Moderate Care AFH 1 No No
1776 SW 27TH ST TROUTDALE OR 97060 (503) 267-8042
2462 511120 ANCHIDIN, MARIA 06/17/2014 3 - Heavy Care AFH 5 No No
1250 NE COCHRAN DR GRESHAM OR 97030 (503) 665-1096
10729 534649 ANDERSON, RAYMOND SNYDER, NINA 04/30/2015 2 - Moderate Care AFH 5 No No
8221 SE GROCE RD CORBETT OR 97019 (503) 695-2858
10345 516322 ANDERSON, TODD G 06/26/2014 2 - Moderate Care AFH 3 Yes Yes
2402 SE 9TH CT GRESHAM OR 97080 (503) 665-0374
10230 515020 ANDREICA, ELENA 04/13/2015 2 - Moderate Care AFH 5 No No
1601 NE 156TH AVE PORTLAND OR 97230 (503) 257-4714
10580 520953 ANDRIUTA, ALEXANDRA 09/30/2014 2 - Moderate Care AFH 5 No No
7710 SE 103RD AVE PORTLAND OR 97266 (503) 777-1696
10736 523967 ANOTTA, MORRY ALAKA 09/23/2014 2 - Moderate Care AFH 5 No No
29 NE 125TH PL PORTLAND OR 97230 (503) 252-0400
10026 509975 APREOTESI, YELIZAVETA 01/13/2015 3 - Heavy Care AFH 5 No No
3140 SE 129TH AVE PORTLAND OR 97236 (503) 761-1022
2385 510562 ARDELEAN, EMILIA 07/12/2014 2 - Moderate Care AFH 4 No No
5241 NE 73RD AVE PORTLAND OR 97218 (503) 258-0408
10166 507031 ARDELEAN, FLOAREA 07/25/2014 2 - Moderate Care AFH 5 Yes Yes
5206 SE 34TH AVE PORTLAND OR 97202 (503) 775-1419
10304 515904 ARON, IOANA 02/05/2015 2 - Moderate Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 1 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
311 NE 106TH AVE PORTLAND OR 97220 (503) 255-2080
2338 513446 ASA, ELIZABETH C 02/21/2015 2 - Moderate Care AFH 5 Yes No
1212 SE 282ND AVE GRESHAM OR 97080 (503) 665-0792
10576 500686 ASA, ELIZABETH C NAVARRO, ANA 09/13/2014 2 - Moderate Care AFH 5 No No
1232 SE 282ND AVE GRESHAM OR 97080 (503) 489-5829
10041 512243 ASA, EMILY T 02/05/2015 3 - Heavy Care AFH 5 No Yes
492 SE HALE DR GRESHAM OR 97080 (503) 492-1171
10523 518689 ASA, EMILY T ASA, CYRILA 07/31/2014 3 - Heavy Care AFH 5 Yes Yes
520 SE VISTA TER GRESHAM OR 97080 (503) 912-1122
10791 515988 ASA, EMILY T NAVARRO, ALMA 06/30/2014 2 - Moderate Care AFH 5 No No
417 SE 76TH AVE PORTLAND OR 97215 (503) 255-0091
1993 502768 ASA, FRED T DINUCCI, DEBORAH 02/11/2015 2 - Moderate Care AFH 5 No Yes
1216 SE 282ND AVE GRESHAM OR 97080 (503) 674-9209
10755 524203 ASA, FRED T WHITE, JEFFERY 12/16/2014 2 - Moderate Care AFH 5 No No
1150 SE 282ND AVE GRESHAM OR 97080 (503) 512-7851
10434 517942 ASA, FREDERICK C OFIANA, JOAN 12/19/2014 2 - Moderate Care AFH 5 Yes No
3315 NE 5TH ST GRESHAM OR 97030 (503) 349-6327
10290 515677 ASA, SONNY T 11/28/2014 3 - Heavy Care AFH 5 Yes No
919 NE 172ND AVE GRESHAM OR 97230 (971) 271-7577
10518 517476 ASA, WILLIAM K 07/30/2014 2 - Moderate Care AFH 5 No Yes
1840 NE 129TH PL PORTLAND OR 97230 (503) 257-4079
2451 511361 ASA, WILLIAM TORRALBA 04/30/2015 3 - Heavy Care AFH 5 No No
1724 SE 138TH AVE PORTLAND OR 97233 (503) 262-8520
2474 511465 AVRAM, MARIA AVRAM, GHEORGHE 07/30/2014 3 - Heavy Care AFH 5 No No
2120 NE 132ND AVE PORTLAND OR 97230 (503) 254-8999
1735 514073 BABALAI, DANIELA 05/20/2014 3 - Heavy Care AFH 5 No No
1543 NE 137TH AVE PORTLAND OR 97230 (503) 251-4994
10678 523331 BABALAI, SIMONA 12/11/2014 2 - Moderate Care AFH 2 No No
1269 NE 162ND AVE PORTLAND OR 97230 (503) 255-0201
Prepared by DCHS-IT, Helpdesk extension 84357 Page 2 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10688 523264 BAHNEAN, LIGIA S 11/17/2014 2 - Moderate Care AFH 5 No Yes
15750 NE HOLLADAY ST PORTLAND OR 97230 (503) 257-2435
2126 511875 BAHNEAN, MARIA HANUSEAC, TABITA 04/14/2015 3 - Heavy Care AFH 5 No No
13077 SE GLENWOOD ST PORTLAND OR 97236 (503) 760-2929
10268 515264 BANUT, ALINA A 07/26/2014 2 - Moderate Care AFH 5 No No
1437 SE 174TH AVE PORTLAND OR 97233 (503) 760-4017
10619 522000 BANUT, CHRIS 08/05/2014 2 - Moderate Care AFH 5 No No
300 NE 197TH AVE PORTLAND OR 97230 (503) 492-1440
10476 518073 BAPTISTA, CRISANTA TACTAY
TACTAY, LUZ 12/12/2014 3 - Heavy Care AFH 5 No No
17211 NE MULTNOMAH DR
PORTLAND OR 97230 (503) 254-0710
470 522651 BASA, MARIANA 12/10/2014 2 - Moderate Care AFH 5 Yes No
6807 SE 78TH AVE PORTLAND OR 97206 (503) 777-2304
10322 515967 BAXTER MICLAUS, MAGDALENA L
02/28/2015 3 - Heavy Care AFH 5 No No
6332 SW HAINES ST PORTLAND OR 97219 (503) 244-1503
10119 513442 BEAUCHAMP, JANIS M 12/10/2014 2 - Moderate Care AFH 5 No No
4320 SE 88TH AVE PORTLAND OR 97266 (503) 761-1075
2189 506556 BEC, ELISABETA 10/13/2014 3 - Heavy Care AFH 5 No No
20 NE 157TH AVE PORTLAND OR 97230 (503) 252-5970
2464 513464 BEKE, LIDIA 06/16/2014 3 - Heavy Care AFH 5 No Yes
8737 NE FREMONT ST PORTLAND OR 97220 (503) 256-6490
10626 545140 BELL, THOMAS WILLIAM 09/29/2014 2 - Moderate Care AFH 5 Yes Yes
1825 SE 181ST AVE PORTLAND OR 97233 (503) 762-0952
2006 504108 BENZAR, LYDIA 04/15/2015 2 - Moderate Care AFH 5 No No
1715 NE 155TH AVE PORTLAND OR 97230 (503) 261-1197
2081 534339 BERGHIANO, SEMIDA 12/06/2014 2 - Moderate Care AFH 5 No No
3131 SE SCHILLER ST PORTLAND OR 97202 (503) 234-2741
1949 502387 BERNAT, LIDIA 10/14/2014 2 - Moderate Care AFH 5 No Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 3 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
16808 NE HASSALO ST PORTLAND OR 97230 (503) 257-0432
10429 518395 BLOTOR, FELICIA E 08/09/2014 2 - Moderate Care AFH 5 Yes No
15550 SE YAMHILL ST PORTLAND OR 97233 (971) 340-5153
1600 512477 BOBU, ANGELICA L 03/28/2015 2 - Moderate Care AFH 4 No No
2947 SW PLUM CT PORTLAND OR 97219 (503) 293-5960
10382 513228 BOHANON, CHONA W 01/07/2015 3 - Heavy Care AFH 4 Yes Yes
4047 SE 5TH ST GRESHAM OR 97080 (503) 665-4689
10484 518169 BONE, LAURA 03/09/2015 2 - Moderate Care AFH 5 Yes Yes
1349 NE 196TH AVE PORTLAND OR 97230 (503) 661-4262
10012 511813 BORCEA, GHEORGHE 10/09/2014 2 - Moderate Care AFH 5 Yes Yes
9757 SE BOISE ST PORTLAND OR 97266 (503) 760-6511
10407 517335 BORLOVAN, ADELA BORLOVAN, SIMONA 05/31/2014 2 - Moderate Care AFH 5 No No
1202 SW 57TH AVE PORTLAND OR 97221 (503) 243-5300
10129 513832 BORZOSH, CODRUTA V 02/25/2015 2 - Moderate Care AFH 5 No Yes
1214 SE 144TH AVE PORTLAND OR 97233 (503) 254-1806
10402 516993 BOYD, NEAL 02/05/2015 2 - Moderate Care AFH 5 Yes Yes
1725 NW DIVISION ST GRESHAM OR 97030 (503) 665-6139
10146 514205 BRADEA, DANIEL S 06/18/2015 2 - Moderate Care AFH 5 Yes Yes
1122 SW STEPHENSON ST
PORTLAND OR 97219 (503) 245-9800
2266 566799 BRAESCU, OTILIA E 06/08/2014 2 - Moderate Care AFH 3 Yes Yes
11614 NE FLANDERS ST PORTLAND OR 97220 (503) 255-3964
2109 504986 BRAZOVAN, LIA RETA 12/13/2014 2 - Moderate Care AFH 5 No No
2355 SE 137TH AVE PORTLAND OR 97233 (503) 762-1992
1978 549704 BRODEANU, ANA 12/20/2014 3 - Heavy Care AFH 5 No No
2106 NE 132ND AVE PORTLAND OR 97230 (503) 254-4598
1251 550244 BROYLES, RICK L 01/31/2015 2 - Moderate Care AFH 5 Yes Yes
3902 NE 109TH AVE PORTLAND OR 97220 (503) 253-0313
2077 504297 BUDISAN, ANA 10/28/2014 3 - Heavy Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 4 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
1819 SE 117TH AVE PORTLAND OR 97216 (503) 252-1407
10483 518145 BULZA, LIGIA S 02/28/2015 2 - Moderate Care AFH 5 No Yes
2754 SW HUME CT PORTLAND OR 97219 (503) 892-3113
10172 514465 BURTON, NICOLE RENEE 08/04/2014 2 - Moderate Care AFH 5 Yes Yes
14505 SE MORRISON ST PORTLAND OR 97233 (503) 253-8078
1259 550256 CAMAT, ELIZABETH L 01/31/2015 2 - Moderate Care AFH 5 No No
14315 SE POWELL BLVD PORTLAND OR 97236 (503) 760-2766
1768 500726 CAMPAN, ESTERA CAMPAN, TEODOR 07/28/2014 3 - Heavy Care AFH 5 Yes Yes
233 SW WALLULA AVE GRESHAM OR 97080 (503) 618-7896
1658 537431 CAMPBELL, KAREN J 10/25/2014 3 - Heavy Care AFH 5 Yes No
1920 SW NANCY DR GRESHAM OR 97080 (503) 618-0089
10275 515311 CAMPBELL, KAREN J MARIANO, LUCIANA 10/22/2014 3 - Heavy Care AFH 5 No No
19715 NE HASSALO CT PORTLAND OR 97230 (503) 674-6790
2336 509744 CAMPEAN, CLAUDIA S 01/30/2015 3 - Heavy Care AFH 5 No No
15849 NE HALSEY ST PORTLAND OR 97230 (503) 252-2830
1075 535682 CAMPEAN, IOSIF V CAMPEAN, MARIA 12/05/2014 3 - Heavy Care AFH 5 No No
12402 NE HASSALO ST PORTLAND OR 97230 (503) 255-9639
1537 572920 CAPATINA, OTILIA 09/15/2014 3 - Heavy Care AFH 5 No Yes
2704 SE 121ST AVE PORTLAND OR 97266 (503) 760-7285
10433 517741 CARP, MONICA C 07/01/2014 2 - Moderate Care AFH 5 No No
3742 SW PASADENA ST PORTLAND OR 97219 (503) 245-4881
10879 524757 CASTRO, JENNIFER 08/05/2014 2 - Moderate Care AFH 5 No No
8212 SE 144TH DR PORTLAND OR 97236
10050 512760 CATUNA, ELENA 04/30/2015 2 - Moderate Care AFH 5 No No
3768 SE 21ST DR GRESHAM OR 97080 (503) 491-0383
2178 507133 CAZAN, DANIEL SABIN 09/01/2014 2 - Moderate Care AFH 5 No No
11242 NE SHAVER ST PORTLAND OR 97220 (503) 252-2899
10766 522571 CERCEA, TABITHA A 12/31/2014 2 - Moderate Care AFH 5 Yes No
3206 SE 160TH AVE PORTLAND OR 97236 (503) 760-5162
Prepared by DCHS-IT, Helpdesk extension 84357 Page 5 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10211 507420 CERNATESCU, DORINA F 01/01/2015 2 - Moderate Care AFH 5 No No
3557 SW 2ND AVE GRESHAM OR 97030 (503) 860-2349
2141 505612 CHEROKEE, MAGDALENA 06/16/2015 3 - Heavy Care AFH 5 Yes Yes
12031 SE KELLY ST PORTLAND OR 97266 (503) 762-9003
1145 510861 CHIS, MARIA 09/26/2014 2 - Moderate Care AFH 3 No No
35 SE 86TH AVE PORTLAND OR 97216 (503) 257-3486
2100 504625 CHIS, MIRCEA 01/06/2015 2 - Moderate Care AFH 5 No No
9233 SE MILL ST PORTLAND OR 97216 (503) 427-0119
10707 523549 CIMPAN, COSMINA ALINA 03/22/2015 2 - Moderate Care AFH 5 No Yes
13634 NE GLISAN ST PORTLAND OR 97230 (503) 252-2191
594 503792 CINPEAN, RODICA E 10/10/2014 3 - Heavy Care AFH 5 No Yes
13501 NE HALSEY PORTLAND OR 97230 (503) 252-2512
1498 572797 CIORNEI, LENUTA 07/17/2014 2 - Moderate Care AFH 5 Yes No
16411 NE OREGON ST PORTLAND OR 97230 (503) 252-3905
2190 506232 CIUPEI, ELENA MIRELA 09/22/2014 2 - Moderate Care AFH 5 Yes No
1827 SE 76TH AVE PORTLAND OR 97215 (503) 771-2162
10411 515253 CIURAR, DORINA 04/26/2015 2 - Moderate Care AFH 5 No Yes
1354 SE 162ND AVE PORTLAND OR 97233 (503) 257-2294
1791 501115 CLAPA, BENJAMIN FLORES, DELIA 10/22/2014 3 - Heavy Care AFH 5 Yes No
5632 SE DUKE ST PORTLAND OR 97206 (503) 777-2229
2421 513151 CODREANU, FIBIA 12/26/2014 3 - Heavy Care AFH 3 No No
15812 SE BROOKLYN ST PORTLAND OR 97236 (503) 760-1787
1655 589338 COJOCARIU, VIORICA 08/29/2014 3 - Heavy Care AFH 5 No Yes
16702 NE WASCO ST PORTLAND OR 97230 (503) 261-1060
2393 509540 COLDEA, MARIA 07/25/2014 2 - Moderate Care AFH 5 Yes Yes
640 NE 155TH AVE PORTLAND OR 97230 (503) 287-0268
1841 501637 CONSTANTINESCU, AMELIA
02/20/2015 3 - Heavy Care AFH 4 No No
620 NW BELLA VISTA DR GRESHAM OR 97030 (503) 669-1826
Prepared by DCHS-IT, Helpdesk extension 84357 Page 6 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10015 524141 CONSTANTINESCU, LIDIA 10/22/2014 2 - Moderate Care AFH 5 Yes No
11901 SE POWELL BLVD PORTLAND OR 97266 (503) 760-0871
10307 515984 COROAMA, ESTERA 02/14/2015 2 - Moderate Care AFH 5 No No
2060 SE 162ND AVE PORTLAND OR 97233 (503) 761-7178
2354 509119 COROGIANU, MARIA 04/16/2014 3 - Heavy Care AFH 5 No No
921 NE 196TH AVE PORTLAND OR 97230 (503) 465-0078
2375 511585 COSMA, DORIN S 06/03/2014 2 - Moderate Care AFH 1 Yes No
1550 NE 152ND PL PORTLAND OR 97230 (503) 262-8533
10293 515930 COSTEA, GABRIEL D 02/21/2015 3 - Heavy Care AFH 5 No No
16221 NE HOLLADAY ST PORTLAND OR 97230 (503) 257-6762
895 529490 COTUNA, FLOARE 04/02/2015 3 - Heavy Care AFH 5 No Yes
10640 SE BUSH ST PORTLAND OR 97266 (503) 760-7030
1159 540468 COVACI, GEORGETA 05/26/2015 2 - Moderate Care AFH 5 Yes Yes
4225 SE 63RD AVE PORTLAND OR 97206 (503) 775-8140
10702 523660 COVACI, LIDIA N 03/20/2015 2 - Moderate Care AFH 5 No No
19909 NE CLACKAMAS CT
PORTLAND OR 97230 (503) 667-2827
10536 521646 COVACIU, ERIKA AURICA 10/23/2014 3 - Heavy Care AFH 5 No No
5735 SE 60TH AVE PORTLAND OR 97206 (503) 477-9080
2394 509537 COZMA, LIVIA 07/17/2014 3 - Heavy Care AFH 5 No No
2217 SE 156TH AVE PORTLAND OR 97233 (503) 761-1460
1675 589408 CRAINIC, DORINA 09/24/2014 3 - Heavy Care AFH 5 No No
4215 SE REX ST PORTLAND OR 97206 (503) 777-2101
10357 516459 CRAINIC, LIDIA 09/06/2014 2 - Moderate Care AFH 5 No No
4302 SE FLAVEL ST PORTLAND OR 97206 (503) 788-8219
10020 511954 CRETU, NICOLETA 10/29/2014 3 - Heavy Care AFH 5 No No
1014 SE 213TH AVE GRESHAM OR 97030 (503) 661-4124
1530 572896 CRISAN, CARMEN 08/24/2014 3 - Heavy Care AFH 4 Yes No
2918 SE 140TH AVE PORTLAND OR 97236 (503) 760-6735
Prepared by DCHS-IT, Helpdesk extension 84357 Page 7 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10272 515582 CRISTUREAN, ELISABETA 10/01/2014 3 - Heavy Care AFH 5 No No
850 NE 236TH PL WOOD VILLAGE OR 97060 (503) 665-1231
10909 589440 CRISTUREAN, ELISABETA ANIELA
11/17/2014 2 - Moderate Care AFH 5 No No
2631 SE WENDY DR GRESHAM OR 97080 (503) 667-9920
2445 505036 CRISTUREAN, EMILIA A CRISTUREAN, CORNEL 04/24/2014 2 - Moderate Care AFH 5 No No
518 NW 23RD AVE GRESHAM OR 97030 (503) 674-8453
10190 513750 CRISTUREAN, EMILIA A MIHALTAN, ELENA 10/03/2014 2 - Moderate Care AFH 5 Yes No
522 NW 23RD ST GRESHAM OR 97030 (503) 674-8453
10562 502624 CRISTUREAN, MARY 05/10/2014 2 - Moderate Care AFH 5 No No
2524 NE 164TH AVE PORTLAND OR 97230 (503) 252-2096
893 529979 CRISTUREAN, SILVIA CRISTUREAN, TEODOR 04/03/2015 3 - Heavy Care AFH 5 No No
1480 NE KANE DR GRESHAM OR 97030 (503) 666-3727
10248 515179 CURESCU, CORINA 06/22/2014 2 - Moderate Care AFH 5 Yes Yes
12945 NE PACIFIC ST PORTLAND OR 97230 (503) 256-5775
10581 521049 DALIZU, JESKA I 10/20/2014 2 - Moderate Care AFH 5 No No
7103 NE 9TH AVE PORTLAND OR 97211 (503) 890-6470
2208 506505 DANAILA PERDE, VICTORIA
11/18/2014 3 - Heavy Care AFH 5 No No
7724 SE 103RD AVE PORTLAND OR 97266 (503) 774-3574
2463 513702 DANCIU, MARIA LIDIA 07/10/2014 2 - Moderate Care AFH 5 Yes No
4453 NE FAILING ST PORTLAND OR 97213 (503) 287-4759
10323 516225 DANCIU, OFELIA DANCIU, MARIUS 05/12/2014 2 - Moderate Care AFH 5 Yes No
5224 NE 73RD AVE PORTLAND OR 97218 (503) 254-6771
1389 566757 DEAN, DORINA 11/29/2014 3 - Heavy Care AFH 3 No No
833 SE 151ST AVE PORTLAND OR 97233 (503) 257-0624
10690 523379 DEL ROSARIO, JULIET ALFONSO
01/24/2015 2 - Moderate Care AFH 5 No Yes
4807 SE 113TH AVE PORTLAND OR 97266 (503) 761-2667
10232 502079 DICKS, MARGARIDA BETTENCOURT
05/02/2014 2 - Moderate Care AFH 5 Yes Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 8 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
205 SE 113TH AVE PORTLAND OR 97216 (503) 257-5741
10329 516490 DIGRAZIA, ANNABELLE L 08/29/2014 3 - Heavy Care AFH 5 No Yes
11915/11919 SE POWELL BLVD
PORTLAND OR 97266 (503) 327-8972
1873 501815 DIMA, DELIA SINTEJUDEAN, ALINA 03/31/2014 1 - Light Care AFH 5 No No
8510 SW 20TH AVE PORTLAND OR 97219 (503) 245-5126
1888 501475 DIMA, DELIA 04/19/2015 1 - Light Care AFH 5 No No
8520 SW 20TH AVE PORTLAND OR 97219 (503) 245-5126
10297 516061 DOBRA, ALEXANDRU PRISCHENKO, LARISA 04/12/2015 2 - Moderate Care AFH 5 No No
15940 NE MORRIS ST PORTLAND OR 97230 (503) 253-1209
891 529573 DOBRA, ANA DOBRA, PAVEL 03/15/2015 3 - Heavy Care AFH 5 No No
16001 NE MORRIS ST PORTLAND OR 97230 (503) 253-5826
10150 514126 DOBRE, CLAUDIU 04/21/2015 3 - Heavy Care AFH 5 No Yes
3512 NE 135TH PORTLAND OR 97230 (503) 255-1087
1460 570325 DOBRE, VIORICA 04/20/2015 2 - Moderate Care AFH 5 No No
14315 NE SAN RAFAEL PORTLAND OR 97230 (503) 252-5017
10550 586771 DOCEA, DINA DOCEA, CORNELIU 02/28/2015 2 - Moderate Care AFH 5 No No
3631 SE 23RD ST GRESHAM OR 97080 (503) 512-7644
1566 577382 DOCTOR, ELENA 12/21/2014 3 - Heavy Care AFH 5 Yes No
1741 SE 113TH AVE PORTLAND OR 97216 (503) 256-6225
10214 508272 DOMINGO, MILAGROS A SANTOS, JONATHAN 01/06/2015 2 - Moderate Care AFH 5 No Yes
819 NE 117TH AVE PORTLAND OR 97220 (503) 254-5211
10650 522496 DOMINGO, MILAGROS A 01/19/2015 3 - Heavy Care AFH 5 No No
11535 NE PACIFIC ST PORTLAND OR 97220 (503) 255-5162
10097 513316 DONISANU, ANDA Z 10/19/2014 3 - Heavy Care AFH 5 No No
7040 SE 122ND DR PORTLAND OR 97236 (503) 760-7219
864 528724 DRAGULIN, DAYSI 12/13/2014 3 - Heavy Care AFH 5 Yes Yes
6814 SE 66TH AVE PORTLAND OR 97206 (503) 788-9260
2441 511887 DRONCA, LORI 03/20/2015 3 - Heavy Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 9 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
4507 SE OGDEN ST PORTLAND OR 97206 (503) 777-7373
2050 503844 DUMITRU, DUMITRA 08/09/2014 3 - Heavy Care AFH 5 No No
1903 NE 116TH PL PORTLAND OR 97220 (503) 261-1959
1332 555870 DUNCA, LUCRETIA 06/09/2014 3 - Heavy Care AFH 5 No No
12734 SE MILL ST PORTLAND OR 97233 (503) 255-4030
1860 501814 EDGERTON, DARLYNE A 06/30/2014 2 - Moderate Care AFH 4 Yes No
738 SE 128TH AVE PORTLAND OR 97233 (503) 252-8432
10671 523099 EICHMAN, MESERET W EICHMAN, STEVEN 09/18/2014 2 - Moderate Care AFH 4 No No
3631 N TRENTON ST PORTLAND OR 97217 (503) 477-9968
10718 523620 ESTIBAR, SAMUEL S ESTEBAR, MICHELLE 04/11/2015 2 - Moderate Care AFH 5 No Yes
14030 SE BUSH ST PORTLAND OR 97236 (971) 222-6040
860 527379 FARRIS, ORVALEE 10/30/2014 3 - Heavy Care AFH 5 Yes Yes
3735 SE MARTINS ST PORTLAND OR 97202 (503) 775-0469
10797 524782 FAYE, SHEWAYE LENGISO 08/13/2014 2 - Moderate Care AFH 2 No No
3007 SE 171ST DR PORTLAND OR 97236 (503) 761-2217
372 537998 FERGUSON, EVELYN L 11/29/2014 3 - Heavy Care AFH 4 Yes Yes
2825 SE 121ST PORTLAND OR 97266 (503) 761-4980
10647 522570 FERNANDEZ, JANET MOLANO
03/06/2015 2 - Moderate Care AFH 5 No Yes
12634 SE LONG ST PORTLAND OR 97236 (503) 762-6258
2188 506234 FILIMON, JOHN FILIMON, SILVIA 10/24/2014 2 - Moderate Care AFH 5 No Yes
1000 SE 130TH AVE PORTLAND OR 97233 (503) 256-3836
10519 518719 FILIP, VERONICA B 08/20/2014 2 - Moderate Care AFH 5 No No
7411 N MONTEITH AVE PORTLAND OR 97203 (503) 719-4257
2284 507489 FIT, SIMONA D 06/11/2014 3 - Heavy Care AFH 5 Yes No
3668 NE DIVISION ST GRESHAM OR 97030 (503) 666-6501
2069 504111 FIVECOATS, SHARON M 10/18/2014 3 - Heavy Care AFH 5 Yes No
2428 SE HUDSON CT TROUTDALE OR 97060 (503) 492-8910
10013 511801 FIVECOATS, SHARON M HOUSE, TONI 10/22/2014 2 - Moderate Care AFH 5 Yes No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 10 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
601 NE 157TH AVE PORTLAND OR 97230 (503) 258-1676
10133 513785 FIVECOATS, SHARON M 03/07/2014 2 - Moderate Care AFH 5 Yes No
1934 SW 22ND ST TROUTDALE OR 97060 (503) 669-8864
1808 501229 FLOREAN, ANA 11/05/2014 3 - Heavy Care AFH 5 Yes No
18430 SE TIBBETTS CT GRESHAM OR 97030 (503) 667-5799
10662 522781 FRAZIER, JOSEPHINE HIPOS
05/12/2014 2 - Moderate Care AFH 5 Yes No
175 NE OLVERA CT GRESHAM OR 97030 (503) 328-8676
10666 515375 GALDAMEZ, JUAN JOSE 06/26/2014 3 - Heavy Care AFH 5 No No
15804 NE BROADWAY ST PORTLAND OR 97230 (503) 265-8631
10767 524307 GAMACHE, MOLLY DAWN 01/15/2015 2 - Moderate Care AFH 5 Yes No
2105 SW 14TH DR GRESHAM OR 97080 (503) 754-3213
2346 508666 GARRETT, DEBRA JEAN 01/21/2015 2 - Moderate Care AFH 5 Yes Yes
4627 SE FRANCIS ST PORTLAND OR 97206 (503) 777-6080
2458 510973 GARZ, IOHAN NICKLAUS GARZ, CARMEN 05/08/2014 2 - Moderate Care AFH 5 No No
2340 SE 137TH AVE PORTLAND OR 97233 (503) 762-3986
10792 524838 GEDAMU, LEMLEM BIADGLEGNE, SARA 10/23/2014 2 - Moderate Care AFH 4 No No
13245 SE HAROLD PORTLAND OR 97233 (503) 841-1185
10147 514234 GHEORGHE, TAMARA 06/08/2014 2 - Moderate Care AFH 5 No No
10802 SE MARKET ST PORTLAND OR 97216 (503) 253-3885
1938 502334 GHETES, MICHELLE S 11/02/2014 3 - Heavy Care AFH 5 No No
849 SE 151ST AVE PORTLAND OR 97233 (503) 261-0206
10169 514403 GILL, BONNIE A RISNER, TERESA 07/20/2014 2 - Moderate Care AFH 5 Yes No
5903 N HOUGHTON ST PORTLAND OR 97203 (503) 247-7103
10584 520864 GILL, BONNIE A LANGFORD, EVELYN 08/31/2014 2 - Moderate Care AFH 5 Yes No
9103 N KIMBALL AVE PORTLAND OR 97203 (503) 285-4344
10625 522277 GILLEN, JUDITH A HUFF, MARY 11/28/2014 3 - Heavy Care AFH 5 No Yes
4303 SE HENDERSON ST PORTLAND OR 97206 (503) 774-5214
2314 508967 GLIGAN, AUGUSTIN 10/19/2014 2 - Moderate Care AFH 5 Yes Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 11 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
6111 SE 43RD AVE PORTLAND OR 97206 (503) 777-5552
2196 506061 GLIGAN, MIRELA A 10/30/2014 3 - Heavy Care AFH 5 Yes No
4408 SE KNAPP ST PORTLAND OR 97206 (503) 772-0218
10376 516686 GONZALES, THOMAS D GONZALES-WALKER, KATHLYN
10/19/2014 2 - Moderate Care AFH 5 Yes Yes
12567 SE BUSH ST PORTLAND OR 97236 (503) 760-1368
10111 513380 GOTUR, LUCRETIA 11/20/2014 2 - Moderate Care AFH 4 No No
3250 SE 174TH AVE PORTLAND OR 97236 (503) 761-2842
10109 513497 GRECU, ADELA 12/18/2014 3 - Heavy Care AFH 5 No No
1208 NE MAGDA LN PORTLAND OR 97230 (503) 256-1832
10916 GRECU, JASMINE ANNA-MARIA
03/04/2015 2 - Moderate Care AFH 5 No No
735 NE 162ND AVE PORTLAND OR 97230 (503) 254-5902
10094 513514 GREER, VINCENT BRUCE 01/01/2015 3 - Heavy Care AFH 5 Yes No
1820 SE 138TH AVE PORTLAND OR 97233 (503) 256-4550
10073 512677 GREJUC, IOANA 06/03/2014 2 - Moderate Care AFH 5 No No
1015 NE 58TH AVE PORTLAND OR 97213 (971) 373-8916
10771 509918 GRIGOREAN, LIDIA B 03/17/2015 2 - Moderate Care AFH 5 No No
5907 SW PATTON RD PORTLAND OR 97221 (503) 255-0184
2391 509618 GRIMES, MARIA F 07/15/2014 2 - Moderate Care AFH 5 Yes No
8524 SE 172ND AVE GRESHAM OR 97080 (503) 492-5836
10719 523963 GUILLAUME, ANTHONY E 08/21/2014 1 - Light Care AFH 5 No Yes
14352 SE MAIN ST PORTLAND OR 97233 (503) 252-5279
10644 522572 GULEREZ, CLAUDIU NICOLAE
03/01/2015 2 - Moderate Care AFH 5 Yes No
11604 SW 35TH AVE PORTLAND OR 97219 (503) 477-6892
2319 510308 GULEREZ, VASILICA 10/31/2014 3 - Heavy Care AFH 5 Yes No
11638 SW 35TH AVE PORTLAND OR 97219 (503) 244-9109
10208 509630 HADA, MONICA LAVINIA TSAR, TETYANA 01/02/2015 2 - Moderate Care AFH 5 No No
2912 SE 101ST AVE PORTLAND OR 97266 (503) 762-0162
Prepared by DCHS-IT, Helpdesk extension 84357 Page 12 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10648 522618 HALL, TINA 03/21/2015 2 - Moderate Care AFH 5 Yes Yes
10429 SE HAROLD ST PORTLAND OR 97266 (503) 760-1525
2090 504540 HAYNES, PAMELA 12/27/2014 2 - Moderate Care AFH 5 Yes Yes
13301 NE SACRAMENTO ST
PORTLAND OR 97230 (503) 252-6817
1734 500239 HITICAS, FLORICA 05/12/2014 2 - Moderate Care AFH 5 Yes No
1217 NE 155TH AVE PORTLAND OR 97230 (503) 256-5221
2281 503048 HODGES, JACLENE IRENE 05/14/2014 3 - Heavy Care AFH 5 Yes No
2233 SE HARLOW AVE TROUTDALE OR 97060 (503) 665-6078
10233 572685 HORGA, MARIA 05/14/2014 2 - Moderate Care AFH 5 Yes Yes
1912 NE 116TH PL PORTLAND OR 97220 (503) 256-7081
10044 512246 HOWEY, LUCILLE A 01/21/2015 2 - Moderate Care AFH 5 No Yes
14809 SE MILL ST PORTLAND OR 97233 (503) 761-5164
10720 523234 HUDRAN, JOHN 04/30/2014 2 - Moderate Care AFH 5 No No
2367 NE 23RD GRESHAM OR 97030 (503) 492-0687
1192 542881 HUGHES, JAMES GARRETT
PAINTER, TRACEY 02/16/2015 2 - Moderate Care AFH 5 Yes Yes
12733 SE MILL CT PORTLAND OR 97233 (503) 256-4964
2299 507818 HUGHES, JAMES GARRETT
02/17/2015 2 - Moderate Care AFH 5 Yes Yes
12722 SE MILL CT PORTLAND OR 97233 (503) 256-4611
2162 505606 HUTU, DEBORA 05/23/2015 2 - Moderate Care AFH 5 No No
105 SE 151ST AVE PORTLAND OR 97233 (503) 252-0794
2005 503364 IANOS, MAGDALENA IANOS, VASILE 04/14/2015 3 - Heavy Care AFH 5 Yes Yes
14724 SE RHONE ST PORTLAND OR 97236 (503) 762-3187
2305 507912 IELETZKY, MARIANA IELETZKY, MIHAIL 08/19/2014 2 - Moderate Care AFH 5 Yes No
4025 NE 114TH AVE PORTLAND OR 97220 (503) 251-2918
10911 IMIRU, BIZUAYEHU G 12/11/2014 2 - Moderate Care AFH 5 No No
2814 SE 125TH AVE PORTLAND OR 97236 (503) 206-6340
10362 514300 INFANTE, NOEMI C. 09/05/2014 3 - Heavy Care AFH 5 Yes Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 13 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
23949 NE GLISAN ST WOOD VILLAGE OR 97060 (503) 492-7635
10249 515178 IOANAS, LIDIA LENUTA 05/24/2014 2 - Moderate Care AFH 5 No No
12333 NE RUSSELL ST PORTLAND OR 97230 (503) 257-5988
1333 555875 IOANIDE, VARVARA 06/21/2014 2 - Moderate Care AFH 5 Yes Yes
115 NE 125TH AVE PORTLAND OR 97230 (503) 257-8161
1528 572891 IONESCU, JOHN 08/15/2014 2 - Moderate Care AFH 3 No No
235 NW 23RD ST GRESHAM OR 97030 (503) 669-2049
10011 512317 IONESI, ANA 12/10/2014 2 - Moderate Care AFH 5 No No
1003 SE STREBIN RD TROUTDALE OR 97060 (503) 465-1546
10063 513501 IOSIF, VIOREL 05/05/2014 2 - Moderate Care AFH 5 No Yes
2427 NE 148TH AVE PORTLAND OR 97230 (503) 257-1111
10443 518693 IOSIF, VIOREL 11/05/2014 2 - Moderate Care AFH 5 No Yes
10337 NE OREGON ST PORTLAND OR 97220 (503) 257-1111
10437 517595 IPARRAGUIRRE, CELIA DEL CARMEN
08/31/2014 2 - Moderate Care AFH 5 Yes Yes
3970 SW 5TH DR GRESHAM OR 97030 (503) 661-3121
10448 517575 ISPAS, ILEANA V 08/26/2014 2 - Moderate Care AFH 5 No No
1317 NE 152ND AVE PORTLAND OR 97230 (503) 255-4765
2036 503426 ISPAS, LIVIU P 05/15/2014 2 - Moderate Care AFH 5 No No
3135 SE 160TH AVE PORTLAND OR 97236 (503) 761-3527
10796 524758 ITA, SAANE T 07/21/2014 2 - Moderate Care AFH 5 No No
3632 N TRENTON ST PORTLAND OR 97217 (503) 289-3056
2039 503857 IUGA, ANGELA 08/19/2014 3 - Heavy Care AFH 5 Yes Yes
4108 SE LEE ANNA WAY PORTLAND OR 97236 (503) 492-1124
2342 509622 IUHASZ, OLGUTA 02/23/2015 2 - Moderate Care AFH 5 Yes No
15933 NE SISKIYOU ST PORTLAND OR 97230 (503) 408-1240
1870 502169 JEWELL, ILEANA 08/03/2014 3 - Heavy Care AFH 5 Yes No
16704 SE MILL ST PORTLAND OR 97233 (971) 279-5165
1614 585641 JIGAU, FLORICA 05/04/2015 3 - Heavy Care AFH 5 No Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 14 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
3131 SE 115TH PORTLAND OR 97266 (503) 762-0621
1608 543863 JOHNSON, PHYLLIS 04/27/2014 2 - Moderate Care AFH 4 No Yes
2001 NE MORGAN ST PORTLAND OR 97211 (503) 283-4254
10064 512933 KALAMAFONI, LUHAMA (LU)
06/24/2014 2 - Moderate Care AFH 5 No No
8622 N CHASE AVE PORTLAND OR 97217 (503) 735-9668
10260 515511 KARACSANYI, LIDIA 11/17/2014 3 - Heavy Care AFH 5 No No
18530 SE STEPHENS CIR PORTLAND OR 97233 (503) 661-9223
10512 518566 KATIGBAK, EVELYN 07/13/2014 3 - Heavy Care AFH 5 Yes Yes
2030 NE 159TH AVE PORTLAND OR 97230 (503) 954-2555
10727 523879 KEITA, KARIN LISA MASANGCAY, TRACY 06/27/2014 2 - Moderate Care AFH 5 Yes Yes
8818 NE EVERETT ST PORTLAND OR 97220 (503) 208-1787
1510 572854 KEREZSI, ILEANA 07/20/2014 2 - Moderate Care AFH 5 No Yes
3519 SE CORA DR PORTLAND OR 97202 (503) 235-0852
10597 521458 KHAYRUTDINOV, RUSLAN V
KHAYRUTDINOVA, ELVIRA 02/21/2015 2 - Moderate Care AFH 5 No No
13061 SE SHERMAN ST PORTLAND OR 97233 (503) 206-5342
10701 523679 KINGA, FATUMA SALUMU 05/02/2014 2 - Moderate Care AFH 5 No No
2350 SE 121ST AVE PORTLAND OR 97216 (503) 914-7743
10577 520902 KIROS, ALEMTSEHAY A 09/17/2014 2 - Moderate Care AFH 4 No No
5439 NE CHURCH ST PORTLAND OR 97218 (503) 493-4361
10305 515688 KOVAC, ANCA 11/24/2014 2 - Moderate Care AFH 5 No Yes
1238 NE 157TH AVE PORTLAND OR 97230 (503) 256-4644
665 509351 KOVAC, OCTAVIA A 07/06/2014 3 - Heavy Care AFH 4 No No
605 SE 156TH PORTLAND OR 97233 (503) 267-8727
10040 512318 KREIBIK, TIBERIU 02/14/2015 2 - Moderate Care AFH 5 Yes Yes
2609 NE 137TH AVE PORTLAND OR 97230 (503) 760-1425
10906 525034 LAPIRA, ERIC NOEL 03/03/2015 2 - Moderate Care AFH 5 No No
2525 SE 176TH PL PORTLAND OR 97236 (971) 279-5817
10592 521384 LAYGO, DIANA LAYGO, NORMA 01/31/2015 3 - Heavy Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 15 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
1510 NE HACIENDA AVE GRESHAM OR 97030 (503) 465-2899
10778 524865 LAYGO, DIANA 11/04/2014 2 - Moderate Care AFH 5 No No
400 SE 15TH ST GRESHAM OR 97080 (503) 328-6491
10331 536706 LAZAU, GABRIELA 06/04/2014 3 - Heavy Care AFH 5 No No
413 NE 140TH AVE PORTLAND OR 97230 (503) 255-0786
10511 520328 LE, KHOA DANG 07/17/2014 2 - Moderate Care AFH 5 No No
5322 SE 140TH AVE PORTLAND OR 97236 (503) 544-1701
10127 521196 LEAH, ELIZA KAUTZ, CHERI 04/11/2015 2 - Moderate Care AFH 5 Yes No
16555 SE MILL ST PORTLAND OR 97233 (503) 760-8168
2453 511012 LECHINTEANU, LAURA 05/09/2014 2 - Moderate Care AFH 5 No Yes
711 NE 172ND AVE PORTLAND OR 97230 (503) 314-9433
10884 524979 LEMASSA, SERKALEM AGESSA
11/30/2014 2 - Moderate Care AFH 2 No No
7816 SE 68TH AVE PORTLAND OR 97206 (503) 477-4780
10528 593215 LUCESCU, BENIAMIN 02/16/2015 2 - Moderate Care AFH 5 Yes No
2739 SE FRANKLIN ST PORTLAND OR 97202 (503) 235-4243
1480 572656 LUPAS, MARIA 05/22/2014 3 - Heavy Care AFH 5 No Yes
529 NE 172ND AVE PORTLAND OR 97230 (503) 261-0432
167 524160 LUPEI, ANNIE 11/30/2014 3 - Heavy Care AFH 5 Yes No
4507 SE RAMONA ST PORTLAND OR 97206 (503) 774-8254
10212 511427 LUPEIU, MARIA LUCIA 12/29/2014 2 - Moderate Care AFH 4 No No
15032 SE WOODWARD ST
PORTLAND OR 97236 (503) 761-8744
10499 518724 LUPU, IRINA 04/13/2015 3 - Heavy Care AFH 5 No No
1600 NE 156TH AVE PORTLAND OR 97230 (503) 255-7932
2252 507219 MACUSE, HELEN 04/30/2015 3 - Heavy Care AFH 5 No Yes
12024 SE RAYMOND ST PORTLAND OR 97266 (503) 762-0181
10629 522228 MACUSE, SECUNDINO ROJAS
11/11/2014 2 - Moderate Care AFH 5 No No
5020 SE 120TH AVE PORTLAND OR 97266 (503) 954-1584
Prepared by DCHS-IT, Helpdesk extension 84357 Page 16 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10397 517188 MAGDA, DAVID 04/15/2014 2 - Moderate Care AFH 5 No No
19850 NE WASCO ST PORTLAND OR 97230 (503) 667-6271
10470 518166 MAGDA, LIGIA 02/28/2015 3 - Heavy Care AFH 5 No No
717 NE 157TH AVE PORTLAND OR 97230 (503) 265-8582
2200 534425 MAGDA, MARIANA 10/21/2014 3 - Heavy Care AFH 5 No Yes
725 NE 157TH AVE PORTLAND OR 97230 (503) 253-6058
1689 566448 MAGDA-RAFAI, VERONICA 11/08/2014 2 - Moderate Care AFH 5 No No
1217 NE MAGDA LN PORTLAND OR 97230 (503) 257-6843
10665 522884 MAKOKO, PAUL MNGURUTTA
06/13/2014 2 - Moderate Care AFH 5 No No
119 NE 156TH AVE PORTLAND OR 97230 (503) 954-1818
10917 MAKOKO, PAUL MNGURUTTA
NZIACHARO, ISAAC 04/06/2015 2 - Moderate Care AFH 5 No No
11740 SE MAIN ST PORTLAND OR 97216 (503) 954-2923
10467 518207 MANAOIS, ALLAN M 02/28/2015 3 - Heavy Care AFH 5 No No
2122 SE 170TH AVE PORTLAND OR 97233 (503) 762-8186
10570 513248 MANGALINDAN, MERLITA R
07/31/2014 2 - Moderate Care AFH 5 Yes Yes
3964 N MASSACHUSETTS AVE
PORTLAND OR 97227 (503) 841-5944
1663 589361 MANGEAC, DIANA 09/21/2014 3 - Heavy Care AFH 5 Yes No
11838 NE RUSSELL ST PORTLAND OR 97220 (503) 255-7764
10142 514266 MARCAN, CORNELIA 04/28/2015 3 - Heavy Care AFH 5 No Yes
2853 SW PLEASANT VIEW DR
GRESHAM OR 97080 (503) 491-9269
826 524699 MARDARE, MARIANA 10/03/2014 2 - Moderate Care AFH 5 Yes Yes
3110 NE 162ND AVE PORTLAND OR 97230 (503) 255-8569
10046 512320 MARGINEAN, OVIDIU 02/19/2015 3 - Heavy Care AFH 5 No Yes
628 NE 155TH AVE PORTLAND OR 97230 (503) 255-7073
10441 516235 MARISCA, AFRODITA CRISTINA
12/02/2014 2 - Moderate Care AFH 5 No No
4331 NE 18TH AVE PORTLAND OR 97211 (503) 384-2369
Prepared by DCHS-IT, Helpdesk extension 84357 Page 17 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
2293 508216 MARTELLO, GEORGETA 09/02/2014 3 - Heavy Care AFH 5 Yes Yes
4514 E BURNSIDE ST PORTLAND OR 97215 (503) 236-4548
10598 521519 MARTIJA, GLENN LOJO 03/21/2015 2 - Moderate Care AFH 5 No No
3215 SE 5TH ST GRESHAM OR 97080 (503) 492-4196
10793 524704 MARTIJA, GLENN LOJO ADAMS, LESLIE 06/26/2014 2 - Moderate Care AFH 5 No No
415 SE 76TH AVE PORTLAND OR 97215 (503) 255-0146
1619 585666 MATEI, FLOAREA 05/10/2014 3 - Heavy Care AFH 5 Yes Yes
11314 SE PINE CT PORTLAND OR 97216 (503) 255-9108
2399 509726 MATIS, CARMEN 11/30/2014 2 - Moderate Care AFH 5 No No
1601 NE 152ND PL PORTLAND OR 97230 (503) 254-5023
10215 514899 MCCREERY, HEATHER A 03/24/2015 2 - Moderate Care AFH 5 Yes No
FAIRVIEW OR 97024 (503) 491-9105
10359 516649 MEBRAHTU, TSEGA K 10/15/2014 2 - Moderate Care AFH 5 No Yes
152 NE BALDWIN ST PORTLAND OR 97211 (503) 285-6968
10715 523578 MEBRAHTU, TSEGA K TESSEMA, RUTH 04/01/2015 3 - Heavy Care AFH 5 No No
1426 NE HIGHLAND ST PORTLAND OR 97211 (971) 544-7728
10942 MEBRAT, DEFFO 06/08/2015 3 - Heavy Care AFH 5 No No
2320 SE 153RD AVE PORTLAND OR 97233
10431 515492 MEGHEREA, LYUDMILA V 07/21/2014 3 - Heavy Care AFH 5 No Yes
8953 SE CRYSTAL SPRINGS BLVD
PORTLAND OR 97266 (503) 775-7174
10712 518595 MELINTI, TABITHA 04/25/2015 2 - Moderate Care AFH 5 No No
3785 SW 5TH DR GRESHAM OR 97030 (503) 912-3642
1965 502536 MENDOZA, RAY 11/14/2014 2 - Moderate Care AFH 5 No No
2341 SE 143RD AVE PORTLAND OR 97233 (503) 761-5170
10343 516242 MESINSCHI, STELLA 02/16/2015 2 - Moderate Care AFH 5 Yes No
4301 SE LAMBERT PORTLAND OR 97206 (503) 774-1472
1660 514107 MICORESCU, DORINA 07/27/2014 3 - Heavy Care AFH 5 Yes No
7621 SE 104TH AVE PORTLAND OR 97266 (503) 777-2590
Prepared by DCHS-IT, Helpdesk extension 84357 Page 18 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10014 511784 MIHALTAN, STEVE AKEEM 10/10/2014 2 - Moderate Care AFH 5 No No
16921 SE MAIN ST PORTLAND OR 97233 (503) 253-6940
10558 507492 MILEA, CAMELIA 08/18/2014 2 - Moderate Care AFH 5 Yes Yes
6720 SE 66TH AVE PORTLAND OR 97206 (503) 771-7057
10398 517113 MILLER, JULIE A 03/20/2015 3 - Heavy Care AFH 5 Yes No
2790 SW BUTLER RD GRESHAM OR 97080 (503) 665-1669
10363 505903 MILLER, TERI L 09/18/2014 2 - Moderate Care AFH 5 Yes Yes
4405 NE KILLINGSWORTH
PORTLAND OR 97218 (503) 281-1852
10276 515475 MITU, MARIA TEPEI 09/14/2014 3 - Heavy Care AFH 5 No No
31026 SE DODGE PARK BLVD
GRESHAM OR 97080 (503) 663-4054
10269 515847 MOGA, NADINA C 01/24/2015 2 - Moderate Care AFH 5 Yes Yes
13048 SE CORA ST PORTLAND OR 97236 (503) 381-4197
1894 500059 MOLFA, GABRIELA MARIANA
05/10/2015 3 - Heavy Care AFH 5 Yes Yes
3615 SE 118TH AVE PORTLAND OR 97266 (503) 760-2558
10787 524783 MOORE, MICHAEL 07/04/2014 2 - Moderate Care AFH 4 No No
3737 NE 135TH AVE PORTLAND OR 97230 (971) 255-1245
10117 513367 MORARIU, CRISTIAN DAN CIOARA, CALIN 11/11/2014 2 - Moderate Care AFH 5 No Yes
608 NE 118TH AVE PORTLAND OR 97220 (503) 261-8776
10284 516014 MOTZKIN, GREGORY W 03/29/2015 2 - Moderate Care AFH 5 Yes No
2938 NE 6TH ST GRESHAM OR 97030 (503) 307-6516
10609 521850 MURESAN, ANGELA 05/13/2015 2 - Moderate Care AFH 5 No No
1720 NW 27TH AVE PORTLAND OR 97210 (503) 894-8048
1279 516748 NABEHET, BOGNOSEN DUMANGHI
10/18/2014 3 - Heavy Care AFH 5 No Yes
3774 N MELROSE DR PORTLAND OR 97227 (503) 619-7335
2231 506901 NAN, DELIA 02/09/2015 2 - Moderate Care AFH 5 No No
5255 SE COOPER ST PORTLAND OR 97206 (503) 777-4069
Prepared by DCHS-IT, Helpdesk extension 84357 Page 19 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10809 524797 NEAGU, YULIYA 08/29/2014 2 - Moderate Care AFH 5 No No
4 NE 202ND AVE PORTLAND OR 97230 (503) 465-6888
10306 515777 NEAMT, SIMONA CAMELIA 12/20/2014 3 - Heavy Care AFH 5 No Yes
2288 SE MIGNONETTE CT
GRESHAM OR 97080 (503) 669-6522
2007 503543 NEGREANU, MARIA 05/27/2014 2 - Moderate Care AFH 4 No No
687 SE 176TH PL PORTLAND OR 97233 (503) 257-3523
10400 517153 NELSON, DENNIS D 03/22/2014 2 - Moderate Care AFH 5 Yes Yes
14719 SE RHINE ST PORTLAND OR 97236 (503) 477-4255
10240 515476 NELSON, MILA D 07/31/2014 3 - Heavy Care AFH 5 No No
1756 NW 14TH DR GRESHAM OR 97030 (503) 669-6897
10886 517627 NGUYEN, NGOC DIEP THI 08/19/2014 2 - Moderate Care AFH 5 No No
2657 SE 133RD AVE PORTLAND OR 97236
10746 523965 NGUYEN, QUOC TRI HUNG 09/25/2014 2 - Moderate Care AFH 5 No No
14947 SE MILL ST PORTLAND OR 97233 (503) 762-4734
10158 514358 NICHOLS, MIRANDA Y 06/29/2014 2 - Moderate Care AFH 5 No No
3024 SE 129TH AVE PORTLAND OR 97236 (503) 760-6693
10131 514094 NICOARA, ADRIAN N PARNAU, IOANA 04/26/2015 2 - Moderate Care AFH 5 No No
821 NE 114TH ST PORTLAND OR 97220 (503) 257-5938
1863 501909 NICOLAE, MARILENA 06/28/2014 2 - Moderate Care AFH 4 No Yes
3655/3665 NE DIVISION GRESHAM OR 97030 (503) 766-3345
2222 513462 NITU, CORNELIA 04/26/2015 3 - Heavy Care AFH 5 Yes No
3529 NE BRYCE PORTLAND OR 97212 (503) 281-1207
2177 513459 O'BRIAN, ADRIAN 09/30/2014 3 - Heavy Care AFH 5 No No
7618 SE 114TH AVE PORTLAND OR 97266
10631 522207 OLAR, PRISCILLA DOMINICA
PETRASH, ANNA 10/27/2014 2 - Moderate Care AFH 5 No No
1150 NE COCHRAN DR GRESHAM OR 97030 (503) 442-0288
2455 510972 ONOFREI, LUCRETIA 05/08/2014 2 - Moderate Care AFH 5 No No
2845 SE 153RD PORTLAND OR 97236 (503) 760-6284
Prepared by DCHS-IT, Helpdesk extension 84357 Page 20 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
2437 510692 ONOFREI, RODICA 03/03/2015 2 - Moderate Care AFH 5 No No
16351 NE HOLLADAY ST PORTLAND OR 97230 (503) 254-2725
10477 518141 ONUFREI, LORI P 02/14/2015 2 - Moderate Care AFH 5 No No
533 SE PAROPA PL GRESHAM OR 97080 (503) 666-5319
2461 506156 OROS, MARIANA 07/07/2014 3 - Heavy Care AFH 5 No Yes
30 NE 125TH PL PORTLAND OR 97230 (503) 257-4614
10242 515300 PAGUIO, ARISTOTLE B KEMPER, ALMA 06/29/2014 2 - Moderate Care AFH 5 No No
12808 NE CLACKAMAS ST
PORTLAND OR 97230 (503) 254-3607
10091 513608 PAGUIO, MARIA LENA DOMINGO, MELBA 09/11/2014 3 - Heavy Care AFH 5 No No
8935 NE SACRAMENTO PORTLAND OR 97220 (503) 408-7497
10187 514508 PAGURA, MARIA 06/07/2015 3 - Heavy Care AFH 5 No No
6105 SE 43RD AVE PORTLAND OR 97206 (503) 771-2930
10415 517707 PALADIY, VIOLETA P 09/07/2014 2 - Moderate Care AFH 5 No No
5420 SE MALDEN DR PORTLAND OR 97206 (503) 774-2826
10245 515211 PAMFILE, EUNICE 06/23/2014 2 - Moderate Care AFH 5 No Yes
2022 SE 138TH ST PORTLAND OR 97233 (503) 254-0470
1835 501491 PASC, ANA 01/30/2015 3 - Heavy Care AFH 5 No No
360 NE 139TH ST PORTLAND OR 97230 (503) 254-3757
1329 555859 PATAN, IOAN PATAN, CONSTANTA 09/27/2014 2 - Moderate Care AFH 5 No No
1868 NE 114TH PL PORTLAND OR 97220 (503) 253-0414
1538 512387 PATAN, IOAN PATAN, CONSTANTA 09/27/2014 3 - Heavy Care AFH 5 No No
13015 NE OREGON PORTLAND OR 97230 (503) 253-0414
1464 563135 PAUL, MARIANA 05/01/2015 3 - Heavy Care AFH 5 No Yes
2833 SE 154TH AVE PORTLAND OR 97236 (503) 760-5693
10171 514376 PAVELONI, MIHAELA EUGENIA
06/01/2014 2 - Moderate Care AFH 5 No Yes
9240 NE SCHUYLER ST PORTLAND OR 97220 (503) 799-7199
10374 514376 PAVELONI, MIHAELA EUGENIA
SKROBIC, KARINA 10/07/2014 2 - Moderate Care AFH 5 No Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 21 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
18540 SE TIBBETTS CT GRESHAM OR 97030 (503) 674-3585
2297 508608 PEIA, DANIELA 11/15/2014 3 - Heavy Care AFH 5 No Yes
12115 SE FLAVEL PORTLAND OR 97266 (503) 762-9846
2322 513454 PEIA, DOINA 09/05/2014 2 - Moderate Care AFH 5 No No
12122 SE FOSTER RD PORTLAND OR 97266 (503) 761-6283
10168 570320 PEIA, VIORICA 08/23/2014 2 - Moderate Care AFH 5 No No
4005 SW SCHOLLS FERRY RD
PORTLAND OR 97221 (503) 292-3177
2383 509465 PETEAN, ANA 06/18/2014 3 - Heavy Care AFH 5 No No
1838 NE 143RD AVE PORTLAND OR 97230 (503) 257-6032
2186 506374 PETRISOR, SILVIA 01/19/2015 2 - Moderate Care AFH 5 No Yes
18120 SE MAIN ST PORTLAND OR 97233 (503) 492-0631
10749 513642 PHAN, TUAN ANH 10/21/2014 2 - Moderate Care AFH 5 No No
3708 SE 162ND AVE PORTLAND OR 97236 (503) 761-4787
10927 525088 PINKERTON, KIMO NATHANIEL
04/23/2015 2 - Moderate Care AFH 4 No No
3127 SW LILLYBEN GRESHAM OR 97080 (503) 328-9190
10165 514301 PINKERTON, ROLINDIA A 06/30/2014 2 - Moderate Care AFH 5 Yes No
1032 NE 174TH AVE PORTLAND OR 97230 (503) 255-2286
10455 511836 PINTILIE, LYDIA 02/03/2015 3 - Heavy Care AFH 5 No No
1535 SE EVELYN CT GRESHAM OR 97080 (503) 492-3505
2446 517202 PISICA, MAGDALENA BANICA, AURICA 04/10/2015 2 - Moderate Care AFH 5 Yes No
2351 NE 148TH AVE PORTLAND OR 97230
10252 510811 PISICA, MAGDALENA 03/31/2015 2 - Moderate Care AFH 5 No No
6248 SW HAMILTON ST PORTLAND OR 97221 (503) 297-4546
10460 518690 PISICA, MAGDALENA ZAHAN, LUCIA 11/02/2014 2 - Moderate Care AFH 5 No No
4711 SW SHATTUCK RD PORTLAND OR 97221 (503) 946-8164
10801 541057 PITTS, CYNTHIA BACKLUND, SARAH 07/31/2014 2 - Moderate Care AFH 5 No No
6245 SE BELMONT PORTLAND OR 97215 (503) 235-5009
10432 517471 PLESA, EMANUELA PLESA, EUGENIA 07/15/2014 2 - Moderate Care AFH 5 No Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 22 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
890 NW RIVERVIEW AVE GRESHAM OR 97030 (971) 300-7396
2253 538504 POCOL, VERONICA 03/02/2015 3 - Heavy Care AFH 5 Yes No
1404 SE 143RD PL PORTLAND OR 97233 (503) 258-9464
10132 513892 POP, LIDIA 03/31/2015 3 - Heavy Care AFH 5 No No
626 NE 155TH AVE PORTLAND OR 97230 (503) 252-8707
10314 516030 POPESCU, LILIANA 03/14/2014 3 - Heavy Care AFH 5 No No
17141 SE MARKET ST PORTLAND OR 97233 (503) 761-0377
10373 516959 POPESCU, RAZVAN ALIN POPESCU, ALEXANDRA 01/31/2015 2 - Moderate Care AFH 5 No No
1805 SE 181ST AVE PORTLAND OR 97233 (503) 760-8741
10672 523079 POPESCU, RAZVAN ALIN POPESCU, ANDREEA 09/06/2014 2 - Moderate Care AFH 5 No No
3648 SW 22ND CT GRESHAM OR 97080 (503) 512-8616
10126 513496 PORTER, CINDY KAY 12/18/2014 2 - Moderate Care AFH 5 Yes Yes
1409 NE 114TH AVE PORTLAND OR 97220 (503) 408-7622
10210 507403 POSTEUCA, EUGENIA 12/28/2014 2 - Moderate Care AFH 5 No No
15335 NE GLISAN PORTLAND OR 97230 (503) 254-4781
1632 589424 POSTEUCA, LIDIA 11/07/2014 3 - Heavy Care AFH 5 No No
3013 SE 138TH PORTLAND OR 97236 (503) 761-7648
2232 507030 POSTEUCA, MONICA 01/23/2015 3 - Heavy Care AFH 5 No No
2770 SW BUTLER RD GRESHAM OR 97080 (503) 665-7718
2418 510270 PURICE, DACIANA E 11/28/2013 3 - Heavy Care AFH 5 No No
17009 SE KELLY ST PORTLAND OR 97236 (503) 761-3172
10099 513109 QUACH, PHUOC THI 09/10/2014 2 - Moderate Care AFH 5 No Yes
16690 SE NAEGELI DR PORTLAND OR 97236 (503) 491-8105
1483 572722 RACHI, ESTERA 05/24/2015 2 - Moderate Care AFH 4 Yes No
5234 NE 73RD AVE PORTLAND OR 97218 (503) 255-5562
2435 513453 RAD, CORNELIA RAD, JACOB 03/11/2015 3 - Heavy Care AFH 5 Yes Yes
1234 NE 47TH AVE PORTLAND OR 97213 (971) 506-2419
10264 515707 RASMUSSEN, NAOMI DIANE
YOUNG, TERESA 09/13/2014 2 - Moderate Care AFH 5 Yes No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 23 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
132 NE LIBERTY GRESHAM OR 97030 (503) 667-3578
10428 517373 RASMUSSEN, NAOMI DIANE
MAL, ROZALIA 06/20/2014 2 - Moderate Care AFH 5 No No
124 NE LIBERTY AVE GRESHAM OR 97030 (503) 661-1461
1848 502984 RICHARDSON, BETTY MAE 10/15/2014 2 - Moderate Care AFH 5 Yes Yes
14235 SE MILL ST PORTLAND OR 97233 (503) 257-7418
2175 506133 RILLERA, FELIPA ROMBAOA
RILLERA, GREGORIO 07/11/2014 3 - Heavy Care AFH 5 Yes Yes
5120 SE 48TH AVE PORTLAND OR 97206 (503) 777-7906
2288 507817 RILLERA, FELIPA ROMBAOA
RILLERA, GREGORIO RASCA, NILDA 07/11/2014 3 - Heavy Care AFH 5 Yes Yes
5128 SE 48TH AVE PORTLAND OR 97206 (503) 772-2020
10740 523933 RIVERA, OLIVA L 08/15/2014 2 - Moderate Care AFH 2 No Yes
2310 SE 174TH AVE PORTLAND OR 97233 (503) 761-8395
10726 583638 RIVERA, OLIVIA HALILI 07/10/2014 2 - Moderate Care AFH 4 No Yes
3717 SE 174TH AVE PORTLAND OR 97236 (503) 489-5218
10086 513307 ROSCA, DANIELA VASILICA
08/05/2014 3 - Heavy Care AFH 5 No Yes
4531 NE 26TH AVE PORTLAND OR 97211 (503) 528-5294
10277 515477 ROSENTHAL, NELLA R RACOLTA, CONSTANTIN 09/13/2014 2 - Moderate Care AFH 5 Yes No
12107 SE KNAPP LN PORTLAND OR 97266 (503) 762-6014
10514 518463 ROSHU, TUDOR CATALIN ROSHU, MELANIE 01/05/2015 3 - Heavy Care AFH 5 No Yes
13146 SE BLACKBERRY CIR
PORTLAND OR 97236 (503) 760-7713
1315 555776 ROTARI, VERONICA 05/24/2015 3 - Heavy Care AFH 4 Yes Yes
12541 SE MILL ST PORTLAND OR 97233 (503) 254-5832
10416 517498 RUIAN, RICA 08/23/2014 2 - Moderate Care AFH 5 Yes Yes
380 NE 178TH AVE PORTLAND OR 97230 (503) 666-6987
2058 504215 RUSNAC, LENUTA 10/28/2014 3 - Heavy Care AFH 5 No No
12411 SE MARKET PORTLAND OR 97233 (503) 255-4121
10095 513274 RUSNAC, MIOARA 10/15/2014 2 - Moderate Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 24 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
5509 SE 140TH PL PORTLAND OR 97236 (503) 761-6861
10757 524243 SALCEDO, ALEX 11/29/2014 2 - Moderate Care AFH 5 No No
12717 SE LINCOLN ST PORTLAND OR 97233 (503) 894-9888
1621 585716 SARBOVAN, GEORGETA 05/29/2014 3 - Heavy Care AFH 5 Yes No
1818 SE 114TH PL PORTLAND OR 97216 (503) 254-3308
2311 508219 SCHIBIC-GRIGORAS, ESTERA E
11/13/2014 2 - Moderate Care AFH 5 No No
1148 SE 144TH AVE PORTLAND OR 97233 (503) 262-6957
10515 518585 SELEA, DANIELA 07/21/2014 2 - Moderate Care AFH 5 No No
17948 SE MILL CT PORTLAND OR 97233 (503) 761-6211
1428 570163 SEMAN, SILVIA 02/02/2015 2 - Moderate Care AFH 5 No Yes
14711 SE RHINE ST PORTLAND OR 97236 (503) 760-5982
1882 503051 SERAC, MARIA 06/11/2015 2 - Moderate Care AFH 3 No No
14041 E BURNSIDE ST PORTLAND OR 97233 (503) 257-0427
2376 513450 SERBAN-NEGRU, DANIELA 05/13/2015 3 - Heavy Care AFH 5 No Yes
1906 SE 72ND AVE PORTLAND OR 97215 (503) 772-5217
10500 577358 SERBAN-NEGRU, DANIELA 05/07/2015 3 - Heavy Care AFH 5 No No
7220 SE STEPHENS ST PORTLAND OR 97215 (503) 775-2385
10350 517068 SEULEAN, FLORIN BENJAMIN
10/22/2014 2 - Moderate Care AFH 4 No No
4625 SE POWELL VALLEY RD
GRESHAM OR 97080 (503) 465-8347
2432 507523 SEULEAN, SILVIA 01/16/2015 3 - Heavy Care AFH 5 No No
4661 SE POWELL VALLEY RD
GRESHAM OR 97080 (503) 491-8486
10931 SHALUNG, TSERING Y 05/11/2015 3 - Heavy Care AFH 5 No No
424 NE 148TH AVE PORTLAND OR 97230 (503) 261-9504
1527 572870 SIMMONS, WILLIAM 07/31/2014 2 - Moderate Care AFH 5 Yes No
17104 NE OREGON ST PORTLAND OR 97230 (503) 253-6542
10120 513681 SIMON, BENEDICT 01/21/2015 3 - Heavy Care AFH 5 No Yes
11615 NE PACIFIC ST PORTLAND OR 97220 (503) 262-9838
Prepared by DCHS-IT, Helpdesk extension 84357 Page 25 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10450 517687 SIMON, BENEDICT SIMON, LAURA 09/26/2014 3 - Heavy Care AFH 5 No Yes
353 SE ANKENY CR PORTLAND OR 97233 (503) 760-1812
2283 507490 SIMUT, CORNELIA 05/31/2015 2 - Moderate Care AFH 5 No No
5017 SE 45TH AVE PORTLAND OR 97206 (503) 777-1899
10023 512193 SISON, AMADA E 11/14/2014 2 - Moderate Care AFH 5 No Yes
20606 NE INTERLACHEN LN
FAIRVIEW OR 97024 (503) 669-8511
2254 504624 SISOUKPANTHONG, SARASIN
05/31/2014 3 - Heavy Care AFH 5 No Yes
4511 SE RAMONA ST PORTLAND OR 97206 (971) 404-4075
10033 512867 SISOUKPANTHONG, SARASIN
SISOUKPANTHONG, KETSAMALY
12/15/2014 2 - Moderate Care AFH 5 Yes Yes
8687 SE ELLIS ST PORTLAND OR 97206 (503) 772-3943
10003 574728 SMOLINETS, LUYDMILA I 08/29/2014 3 - Heavy Care AFH 5 No No
15730 SE BYBEE DR PORTLAND OR 97236 (971) 279-5606
10653 525024 SNIDER, ALICE R 02/10/2015 3 - Heavy Care AFH 5 No Yes
1701 NE 116TH PL PORTLAND OR 97220 (503) 740-9817
1872 513448 SOMESAN, RODICA 05/01/2014 2 - Moderate Care AFH 5 No No
805 NE 118TH PORTLAND OR 97220 (503) 254-5300
1656 589403 SOMLEA, EUGENIA 10/01/2014 2 - Moderate Care AFH 5 No No
254 NE 106TH AVE PORTLAND OR 97220 (503) 253-7453
10656 522674 STANA, OVIDIU STEFAN 04/05/2015 2 - Moderate Care AFH 5 No Yes
12704 SE MARKET ST PORTLAND OR 97233 (503) 253-3015
1533 577242 STANESCU, FELICIA 08/31/2014 3 - Heavy Care AFH 3 No No
12720 SE WASHINGTON CT
PORTLAND OR 97233 (503) 254-8162
10114 513394 STANISEL, LAURA 11/30/2014 3 - Heavy Care AFH 5 No No
1310 NE 148TH AVE PORTLAND OR 97230 (503) 253-2304
10725 523939 STELLAR, SHERYL ANN CARTIER, MICHELE 05/23/2015 2 - Moderate Care AFH 5 No No
10831 SW 57TH PL PORTLAND OR 97219 (503) 740-9927
Prepared by DCHS-IT, Helpdesk extension 84357 Page 26 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
10686 524098 STERIE, PAULA 11/17/2014 3 - Heavy Care AFH 5 No No
14707 SE MILL ST PORTLAND OR 97233 (503) 254-6424
10721 523619 STIER, ROBERT 04/12/2015 3 - Heavy Care AFH 5 Yes Yes
11028 SE MARKET ST PORTLAND OR 97216 (503) 257-7409
10226 570288 STINEA, CARMEN 03/28/2015 2 - Moderate Care AFH 5 Yes Yes
7111 SE 63RD AVE PORTLAND OR 97206 (503) 777-9586
2400 509659 STOICA, JOHN 10/14/2014 2 - Moderate Care AFH 5 Yes No
4125 SE 134TH AVE PORTLAND OR 97236 (503) 760-6998
563 515663 STRIZU, LIDIA STRIZU, DANIEL SEMA, DANIELA 08/12/2014 2 - Moderate Care AFH 5 No No
17932 NE EVERETT CT PORTLAND OR 97230 (503) 618-1133
1682 589416 STRIZU, LIDIA STRIZU, DANIEL 08/11/2014 3 - Heavy Care AFH 5 No No
18520 SE TIBBETTS CT GRESHAM OR 97030 (503) 669-7240
10426 517547 SY, SANDY J A 09/14/2014 2 - Moderate Care AFH 5 Yes No
15915 NE GLISAN ST PORTLAND OR 97230 (503) 252-6419
2401 509882 SZABO, FLORY 09/20/2014 2 - Moderate Care AFH 5 No Yes
16828 SE KELLY ST PORTLAND OR 97236 (503) 762-1673
1593 516353 TALPOS, LIDIA 03/21/2015 2 - Moderate Care AFH 5 No No
12705 SE LINCOLN PORTLAND OR 97233 (503) 254-5065
1777 500677 TENITA, VIORICA 08/14/2014 3 - Heavy Care AFH 5 Yes No
13012 NE TILLAMOOK PORTLAND OR 97230 (503) 256-9106
1298 553037 TIGANESCU, FLORICA 04/28/2015 3 - Heavy Care AFH 5 Yes No
4636 SE 136TH PORTLAND OR 97236 (503) 760-1449
10390 516887 TIGU, DORINA 12/31/2014 2 - Moderate Care AFH 5 No Yes
11847 SE ALDER ST PORTLAND OR 97216 (503) 253-6719
2359 509538 TIGU, LIDIA 03/29/2015 2 - Moderate Care AFH 5 No No
3552 SE 65TH AVE PORTLAND OR 97206 (503) 771-6936
2184 506197 TIGU, MIHAELA LUMINITA 09/23/2014 3 - Heavy Care AFH 5 No No
1465 SE 5TH ST GRESHAM OR 97080 (503) 661-6866
2345 514110 TIGU, PETER 03/27/2015 3 - Heavy Care AFH 5 No Yes
Prepared by DCHS-IT, Helpdesk extension 84357 Page 27 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
431 SE HALE DR GRESHAM OR 97080 (503) 666-0534
2392 511467 TIGU, STEFAN 07/24/2014 2 - Moderate Care AFH 5 No No
1835 SE 114TH PL PORTLAND OR 97216 (503) 252-0945
10392 509624 TIGU-IENI, DINA 04/01/2015 2 - Moderate Care AFH 5 No No
10949 SE PARDEE ST PORTLAND OR 97266 (503) 760-6675
2169 505855 TINA, NADIA 06/01/2015 2 - Moderate Care AFH 5 Yes No
7047 SE CLATSOP ST PORTLAND OR 97206 (503) 774-6390
10889 523414 TING, ANDREW 10/21/2014 2 - Moderate Care AFH 4 Yes No
18169 SE RICHEY RD GRESHAM OR 97080 (503) 492-7442
1358 562988 TISLER, STELA TEODORA 09/14/2014 3 - Heavy Care AFH 4 No Yes
6440 SE 84TH PL PORTLAND OR 97266 (503) 771-8616
10115 513535 TODOR, LIDIA 12/31/2014 2 - Moderate Care AFH 5 No No
1816 SE 117TH AVE PORTLAND OR 97216 (503) 257-6812
10677 523033 TOLAN, ROXANA ADINA 07/31/2014 2 - Moderate Care AFH 5 No No
16930 SE KELLY ST PORTLAND OR 97236 (503) 760-1149
10762 525017 TORRENCE, DANIEL EARNEST
MCCARTHY, SEAN 02/05/2015 2 - Moderate Care AFH 2 No Yes
7710 N DENVER AVE PORTLAND OR 97217 (503) 928-6791
10614 521852 TRAN, KHANH NGUYEN 06/16/2014 2 - Moderate Care AFH 5 No No
13935 SE TAYLOR ST PORTLAND OR 97233 (503) 253-4926
10744 523962 TUBANIA, LISA A ASKAY, HOWARD 11/04/2014 2 - Moderate Care AFH 4 No Yes
605 NE 23RD PL GRESHAM OR 97030 (503) 888-2866
2211 508592 TUDORACHE, FLOARE 10/31/2014 3 - Heavy Care AFH 5 No No
2387 NE 148TH AVE PORTLAND OR 97230 (503) 255-6060
1048 534599 TUDORACHE, SILVIA 10/21/2014 3 - Heavy Care AFH 5 No No
3723 SE 74TH PORTLAND OR 97206 (503) 774-3894
10224 514918 TURC, ANNA 04/03/2015 2 - Moderate Care AFH 5 No No
20904 SE CLAY CT GRESHAM OR 97030 (503) 666-5875
10241 515082 TURCAS, VERONICA 05/20/2014 2 - Moderate Care AFH 5 No No
Prepared by DCHS-IT, Helpdesk extension 84357 Page 28 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
855 NE 112TH AVE PORTLAND OR 97220 (503) 810-6425
2000 502876 VALENTINE, CYNTHIA 03/01/2015 2 - Moderate Care AFH 5 Yes Yes
3850 SW 5TH DR GRESHAM OR 97030 (503) 669-9166
10604 518370 VASILIU, ELVIRA EMANUELA
ALVAREZ, LIDIA 03/03/2014 2 - Moderate Care AFH 5 No No
238 NE 169TH AVE PORTLAND OR 97230 (503) 719-7379
10393 505769 VESA, ANCA CORINA 03/14/2015 2 - Moderate Care AFH 5 Yes No
4616 SW 42ND PL PORTLAND OR 97221 (503) 254-5096
10298 515860 VESA, CLAUDIA SUCIU, SIMONA 02/07/2015 3 - Heavy Care AFH 5 No No
1921 SE 117TH AVE PORTLAND OR 97216 (503) 251-2735
10204 507770 VESA, DANA 01/03/2015 3 - Heavy Care AFH 5 No No
822 NE 117TH AVE PORTLAND OR 97220 (503) 408-1653
10926 525061 VESA, IOSIF B 04/03/2015 2 - Moderate Care AFH 5 No No
1927 SE 117TH AVE PORTLAND OR 97216 (503) 928-3082
10367 516549 VIDICAN, ADRIAN MARIUS VIDICAN, SVETLANA 08/31/2014 2 - Moderate Care AFH 5 No No
4124 NE 136TH AVE PORTLAND OR 97230 (503) 206-7465
902 530634 VIDICAN, GHEORGHE 04/30/2015 3 - Heavy Care AFH 5 Yes Yes
10605 NE THOMPSON PORTLAND OR 97220 (503) 255-6985
2201 506624 VLAD, VICTORIA 11/16/2014 2 - Moderate Care AFH 5 No No
15241 NE BROADWAY ST PORTLAND OR 97230 (503) 252-9366
10453 517684 VODA-FILIMON, MARCELA MIRELA
09/25/2014 2 - Moderate Care AFH 5 Yes Yes
10929 SE HAROLD ST PORTLAND OR 97266 (503) 761-1663
10633 522236 WANG, MELISSA 11/01/2014 2 - Moderate Care AFH 5 Yes No
16336 NE MULTNOMAH ST
PORTLAND OR 97230 (503) 256-9911
10910 524980 WARITU, PETROS ASFAW, ABERASH 12/01/2014 2 - Moderate Care AFH 4 No No
2700 NE 17TH ST GRESHAM OR 97030 (503) 661-7218
2217 506690 WERNER, GETA 11/22/2014 2 - Moderate Care AFH 5 No No
2932 NE GLISAN ST PORTLAND OR 97232 (503) 239-5682
Prepared by DCHS-IT, Helpdesk extension 84357 Page 29 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL
License # Provider # Operator Co Operator Resident Manager(s) Expire Date Class Category Capacity Pets Smoking
2402 509838 WILSON, PETRONELA B 09/27/2014 2 - Moderate Care AFH 3 No No
3259 SE 5TH ST GRESHAM OR 97080 (503) 674-2489
10225 514826 WINKLER, DANIELA 03/03/2015 2 - Moderate Care AFH 5 No No
17711 SE HAIG DR PORTLAND OR 97236 (503) 761-0289
10482 518003 WOLFE, BABY GERASOL 01/13/2015 2 - Moderate Care AFH 5 Yes Yes
97 NW ROYAL AVE GRESHAM OR 97030 (360) 518-5210
10763 524349 WOTICHA, FEYISSA ABDELLA
02/19/2015 2 - Moderate Care AFH 5 No Yes
15130 SE SHERMAN ST PORTLAND OR 97233 (503) 760-7470
10734 523882 ZARAGOZA, KRYSTEL G 06/27/2015 2 - Moderate Care AFH 5 No No
12136 SE FOSTER RD PORTLAND OR 97266 (503) 939-3279
10220 511880 ZEA, MARIA G 01/31/2015 3 - Heavy Care AFH 5 No Yes
7621 SE 112TH AVE PORTLAND OR 97266 (503) 760-7412
10423 517464 ZIALCITA, FREDISWINDA ASA
07/22/2014 2 - Moderate Care AFH 5 No Yes
515 SE PAROPA PL GRESHAM OR 97080 (503) 492-4071
10651 522587 ZIALCITA, MARIA ASA GIURCULETE, DANIEL 03/08/2015 2 - Moderate Care AFH 5 No Yes
3281 SE 5TH ST GRESHAM OR 97080 (503) 328-8412
10449 512460 ZION, MOZETTA 03/13/2014 3 - Heavy Care AFH 4 No No
7045 NE CLEVELAND AVE PORTLAND OR 97211 (503) 286-5456
Total: 408
Prepared by DCHS-IT, Helpdesk extension 84357 Page 30 of 30
ACHP FACILITY REGISTRY
MULTNOMAH COUNTY Department of County Human Services Report Date 6/30/2014
Adult Care Home Program ACHP015A
Selection:
*This is a registry of licensed homes in Multnomah County and the homes listed may not have vacancies, to locate a vacancy visit: http://adultcareoptions.multco.us or call 503-988-3000 x26640 for assistance*
Care Certification: Private and Medicaid Category: AFH Zip Codes: ALL