HEALTH AT HOME HOSPICE - PORTLAND LLC NPI 1720655665

NPI Information

NPI: 1720655665
Provider Name: HEALTH AT HOME HOSPICE - PORTLAND, LLC

Doing Business As: BROOKDALE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
29757 SW BOONES FERRY RD STE B
WILSONVILLE, OR
ZIP 97070
Phone: (503) 570-9766
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HEALTH AT HOME HOSPICE - PORTLAND, LLC is a hospice care community based in Wilsonville, OR. HEALTH AT HOME HOSPICE - PORTLAND, LLC NPI is 1720655665. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookdale Hospice.

The provider's business location address is:

29757 SW BOONES FERRY RD STE B
WILSONVILLE, OR
ZIP 97070-202
Phone: (503) 570-9766
Fax: (503) 685-9047

The provider's authorized official is Nicholas Gachassin .
The authorized official title is Executive Vice President and has the following contact phone number (337) 233-1307.

The CLIA number assigned to this NPI record is 38D2164678 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 11/30/2021.

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
1	251G00000X	Hospice Care, Community Based				Yes

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

NPI Synchronization or Removal

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