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HEART OF HOSPICE LLC NPI 1720309412


NPI Information

NPI: 1720309412
Provider Name: HEART OF HOSPICE LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 38D1063087

Address:
205 WASCO LOOP
SUITE 202
HOOD RIVER, OR
ZIP 97031
Phone: (541) 386-1942
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HEART OF HOSPICE LLC is an in home supportive care in Hood River, OR. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. HEART OF HOSPICE LLC NPI is 1720309412. The provider is registered as an organization entity type.

The provider's business location address is:

205 WASCO LOOP
SUITE 202
HOOD RIVER, OR
ZIP 97031-266
Phone: (541) 386-1942
Fax: (541) 386-1728

The provider's authorized official is Jordana Goatcher .
The authorized official title is Executive Director and has the following contact phone number (541) 386-1942.

The CLIA number assigned to this NPI record is 38D1063087 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2010 and was last updated on 3/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive Care243105OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1243105MEDICAIDOREGON
2381554MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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