ADVANCED HOME HEALTH NORTHWEST LLC (NPI# 1477929776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477929776 |
| Entity Type | Organization |
| Organization Name | ADVANCED HOME HEALTH NORTHWEST LLC |
| Other Organization Name | ADVANCED HOME HEALTH NW OF PORTLAND |
| Practice Address |
10121 Se Sunnyside Rd Suite 210 Clackamas OR 97015-5745 |
| Practice Telephone | 5038669688 |
| Practice Fax Number | 3607359416 |
| Mailing Telephone | 3607357155 |
| Mailing Fax Number | 3607359416 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JULIO QUINONES (CEO) |
| Authorized Official Telephone | 9162605296 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Advanced Home Health NW of Portland | Doing Business As Name - Organization |
| Street Address |
10121 SE SUNNYSIDE RD SUITE 210 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213133 | David Edward Doyle Jr. | Dentist | 10121 Se Sunnyside Rd, Suite 320, Clackamas, OR 97015-5745 | 2005-08-25 |
| 1346796752 | Jeanette Marie Brown-snyder | Physical Therapist | 10121 Se Sunnyside Rd, Suite 210, Clackamas, OR 97015-5745 | 2016-08-27 |
| 1194186072 | Samantha Ellen Richards | Speech-Language Pathologist | 10121 Se Sunnyside Rd, Suite 210, Clackamas, OR 97015-5745 | 2016-03-18 |
| 1124412366 | Gaelen Watt | Physical Therapist | 10121 Se Sunnyside Rd, #208, Clackamas, OR 97015 | 2015-03-25 |
| 1902212731 | James M Mours LLC | Psychologist | 10121 Se Sunnyside Rd, Suite 300, Clackamas, OR 97015-5745 | 2014-07-01 |
| 1851715098 | James M Mours, LLC | Clinic/Center | 10121 Se Sunnyside Rd, Suite #300, Clackamas, OR 97015-5745 | 2014-02-07 |
| 1043648033 | Northwest Family Psychology | Psychologist | 10121 Se Sunnyside Rd, Suite 300, Clackamas, OR 97015-5745 | 2013-10-29 |
| 1538314109 | Align Chiropractic LLC | Clinic/Center | 10121 Se Sunnyside Rd, Suite #300, Clackamas, OR 97015-5745 | 2008-11-24 |
| 1164638136 | Kimberley Jane Horner | Naturopath | 10121 Se Sunnyside Rd, Suite 300b, Clackamas, OR 97015-5745 | 2007-05-15 |
| 1689702722 | Clackamas Sportscare LLC | Physical Therapist | 10121 Se Sunnyside Rd, Suite 208, Clackamas, OR 97015-5750 | 2007-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| 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 |
|---|---|---|---|---|
| 1346897287 | Vancouver Home Health Care Agency LLC | Home Health | 10121 Se Sunnyside Rd Ste 300, Clackamas, OR 97015-5713 | 2019-08-26 |
| 1235543000 | Able Palms Home Health of Oregon, LLC | Home Health | 11520 Se Sunnyside Rd, Ste 308, Clackamas, OR 97015-4306 | 2014-06-19 |
| 1316215601 | Bristol Homecare - Oregon LLC | Home Health | 10365 Se Sunnyside Rd, Suite 340, Clackamas, OR 97015-5741 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548508 | Helen Lacsina Greer | Home Health | 248 Elma Ave Se, Salem, OR 97317-5464 | 2020-08-11 |
| 1760092167 | Charlotte Kreftmeyer | Home Health | 661 Skyhawk Dr, Ontario, OR 97914-3143 | 2020-07-31 |
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1841810256 | Destiny Robin Thomas | Home Health | 2544 Ne Clackamas St, Portland, OR 97232-1727 | 2020-04-26 |
| 1912533506 | Lucas Home Care, LLC | Home Health | 230 Se 3rd St # 100, Bend, OR 97702-9949 | 2020-03-16 |
| 1700421682 | Janelle S Foote | Home Health | 36540 Highway 140, Beatty, OR 97621-9706 | 2019-11-14 |
| 1972154441 | For The People LLC | Home Health | 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 | 2019-09-25 |
| 1093363426 | Apex Health and Wellness | Home Health | 436 N Laurel St, Ashland, OR 97520-1113 | 2019-08-28 |
| 1962056341 | Cascade Specialized Nursing, LLC. | Home Health | 20831 Se Firwood Rd, Sandy, OR 97055-9487 | 2019-07-24 |
| 1528620887 | Chareese R Borland | Home Health | 2240 Nolan Ln, West Linn, OR 97068-4243 | 2019-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ADVANCED HOME HEALTH NORTHWEST LLC.
| 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.