HEALTHY LIVING AT HOME - PORTLAND, LLC. (NPI# 1346580610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346580610 |
| Entity Type | Organization |
| Organization Name | HEALTHY LIVING AT HOME - PORTLAND, LLC. |
| Practice Address |
16083 Sw Upper Boones Ferry Rd Suite 100 Portland OR 97224-7736 |
| Mailing Address |
16083 Sw Upper Boones Ferry Rd #100 Portland OR 97224-7736 |
| Practice Telephone | 8887434979 |
| Practice Fax Number | 9712662924 |
| Mailing Telephone | 8887434979 |
| Mailing Fax Number | 9712662924 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JULIO QUINONES (CEO) |
| Authorized Official Telephone | 9199862298 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HEALTHY LIVING AT HOME - PORTLAND, LLC | 16083 Sw Upper Boones Ferry Rd 100, Portland, OR 97224 |
| Street Address |
16083 SW UPPER BOONES FERRY RD SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97224-7736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549308 | Saveplus Home Care Services | Home Health | 640 Brighton Ave Ste 6, Portland, ME 04102-1047 | 2020-08-19 |
| 1164031688 | Nova House LLC | Home Health | 313 Stevens Ave, Portland, ME 04103-2632 | 2020-07-30 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1932742111 | Northeast Transit LLC | Home Health | 525 Forest Ave, Portland, ME 04101-1503 | 2019-10-21 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1154985752 | Ddchealth, LLC | Home Health | 1850 Nw Front Ave Apt 407, Portland, OR 97209-1882 | 2019-04-29 |
| 1023593381 | Southern Maine Home Health Care | Home Health | 640 Brighton Ave Ste 7, Portland, ME 04102-1047 | 2018-10-02 |
| 1265936025 | Legit Home Health Care LLC | Home Health | 991 Forest Ave Ste 2a, Portland, ME 04103-3391 | 2018-03-19 |
| 1821599499 | Noble Health Care | Home Health | 42 Wellesley Ests, Portland, ME 04103-1170 | 2018-02-28 |
| 1194230870 | Direct Nursing Services LLC | Home Health | 8040 Sw Greenhouse Ln, Portland, OR 97225-3869 | 2017-12-04 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.