VANCOUVER HOME HEALTH CARE AGENCY LLC (NPI# 1356708895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356708895 |
| Entity Type | Organization |
| Organization Name | VANCOUVER HOME HEALTH CARE AGENCY LLC |
| Other Organization Name | VANCOUVER HOME HEALTH CARE AGENCY LLC |
| Practice Address |
201 Ne Park Plaza Dr Ste 200 Vancouver WA 98684-5871 |
| Mailing Address |
Po Box 2988 Vancouver WA 98668-2988 |
| Practice Telephone | 3609757070 |
| Practice Fax Number | 8006053780 |
| Mailing Telephone | 8009206512 |
| Mailing Fax Number | 8006053780 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | MR. RAYON RAYMOND (ADMIN) |
| Authorized Official Telephone | 3609757070 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | HOME HEALTH | 1356708895 | 01 |
| Other Name | Type Code |
|---|---|
| Vancouver Home Health Care Agency LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346897287 | Vancouver Home Health Care Agency LLC | Home Health | 10121 Se Sunnyside Rd Ste 300, Clackamas, OR 97015-5713 | 2019-08-26 |
| Street Address |
201 NE PARK PLAZA DR STE 200 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-5871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1538778295 | Eden Home Health of Clark County, LLC | Home Health | 4601 Ne 77th Ave Ste 300, Vancouver, WA 98662-6736 | 2020-07-29 |
| 1255812020 | Healthy Living At Home - Vancouver, LLC | Home Health | 1220 Main St Ste 400, Vancouver, WA 98660-2963 | 2018-08-28 |
| 1871046623 | Rc Home Care Services, Inc. | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2016-07-28 |
| 1629436027 | Fortis Healthcare, Inc. | Home Health | 8002 Ne Highway 99, #114, Vancouver, WA 98665-8876 | 2016-02-01 |
| 1952422735 | Elfin Services, Inc. | Home Health | 8509 Ne 69th St, Vancouver, WA 98662-4370 | 2007-04-02 |
| 1184771941 | Family Care Services, Inc | Home Health | 10000 Ne 7th Ave, Suite 210, Vancouver, WA 98685-4599 | 2007-01-04 |
| 1770644668 | Paradox Northwest Associates, Inc | Home Health | 205 E 11th St, Suite Ll1, Vancouver, WA 98660-3200 | 2006-12-13 |
| 1205867819 | Gentiva Certified Healthcare Corp. | Home Health | 204 Se Stone Mill Dr Ste 260, Vancouver, WA 98684-3507 | 2006-07-05 |
| 1144267667 | Waterford At Fairway Village Home | Home Health | 2909 Se Village Loop, Vancouver, WA 98683-8108 | 2006-06-01 |
| 1407366685 | Divine Home Health Care Inc | Home Health | 4555 Ne 66th Ave, Vancouver, WA 98661-3181 | 2017-10-02 |
| Find all providers in VANCOUVER | ||||
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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.