PHILLIPS CARE SERVICES (NPI# 1720694177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720694177 |
| Entity Type | Organization |
| Organization Name | PHILLIPS CARE SERVICES |
| Practice Address |
6700 Sw 105th Ave Ste 106 Beaverton OR 97008-8831 |
| Practice Telephone | 9718017606 |
| Practice Fax Number | 5032135999 |
| Mailing Telephone | 9718017606 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MARISSA PHILLIPS (OWNER) |
| Authorized Official Telephone | 9718017606 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 524656 | 05 |
| Other Name | Type Code |
|---|---|
| Because It's There LLC | Former Legal Business Name - Organization |
| ComForCare Home Care Portland | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PHILLIPS CARE SERVICES, LLC | 6700 Sw 105th Ave, Suite 106, Beaverton, OR 97008 |
| Street Address |
6700 SW 105TH AVE STE 106 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-8831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588148829 | Atlantis Caregiving Corporation | In Home Supportive Care | 3835 Sw 185th Ave Ste 100, Beaverton, OR 97078-1553 | 2018-09-22 |
| 1932680584 | Hde Home Care | In Home Supportive Care | 12655 Sw Center St Ste 450, Beaverton, OR 97005-4726 | 2018-08-22 |
| 1609327972 | United Homecare Services | In Home Supportive Care | 5050 Sw Griffith Dr Ste 206, Beaverton, OR 97005-2988 | 2016-10-20 |
| 1558720540 | La Cote Fleurie, LLC. | In Home Supportive Care | 18988 Sw Shaw St, Beaverton, OR 97078-1247 | 2016-02-18 |
| 1699143420 | Mbcg, LLC | In Home Supportive Care | 14780 Sw Osprey Dr Ste 295, Beaverton, OR 97007-8073 | 2015-09-10 |
| 1902156797 | Specialty Comfort Care, Inc. | In Home Supportive Care | 11940 Sw Denney Rd, Beaverton, OR 97008-5857 | 2012-09-19 |
| 1326351909 | Visiting Medical Care Providers LLC | In Home Supportive Care | 22740 Sw Rosedale Rd, Beaverton, OR 97007-8754 | 2010-07-23 |
| 1205280286 | Serenity Home Care LLC | In Home Supportive Care | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-04-15 |
| 1902270671 | Caring for Portland, LLC | In Home Supportive Care | 1915 Nw Amberglen Pkwy Ste 400, Beaverton, OR 97006-6938 | 2015-11-18 |
| 1740588185 | Columbia Care LLC | In Home Supportive Care | 15455 Nw Greenbrier Pkwy, Ste 205, Beaverton, OR 97006-7374 | 2011-03-09 |
| Find all providers in BEAVERTON | ||||
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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.