LEGACY VISITING NURSE ASSOCIATION (NPI# 1861413452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861413452 |
| Entity Type | Organization |
| Organization Name | LEGACY VISITING NURSE ASSOCIATION |
| Other Organization Name | LEGACY HOSPICE SERVICES |
| Practice Address |
815 Ne Davis St Portland OR 97232-2964 |
| Mailing Address |
Po Box 4466 Portland OR 97208-4466 |
| Practice Telephone | 5032256372 |
| Mailing Telephone | 5034133958 |
| Mailing Fax Number | 5034133212 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | LINDA S HOFF (SR VP AND CFO) |
| Authorized Official Telephone | 5034155730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | NA | Nursing & Custodial Care Facilities | |
| Y | 251G00000X | Hospice Care, Community Based | NA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | REGENCE BLUE CROSS | 054643 | 01 |
| OR | 132238 | 05 |
| Other Name | Type Code |
|---|---|
| Legacy Hospice Services | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LEGACY VISITING NURSE ASSOCIATION | 1919 Nw Lovejoy, Legal Services Department, Portland, OR 97209 |
| Street Address |
815 NE DAVIS ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672247 | Angela Loerzel | Social Worker | 815 Ne Davis St, Portland, OR 97232-2964 | 2018-06-08 |
| 1477662112 | Craig Edward Tanner | Internal Medicine | 815 Ne Davis St, Portland, OR 97232-2964 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453681 | Sojourn Hospice and Palliative Care-portland, LLC | Hospice Care, Community Based | 16083 Sw Upper Boones Ferry Rd Ste 100, Portland, OR 97224-7736 | 2019-08-19 |
| 1649826702 | Tenderly Hospice, LLC | Hospice Care, Community Based | 9500 Sw Barbur Blvd Ste 260, Portland, OR 97219-5466 | 2019-08-14 |
| 1184021321 | Western Health Resources | Hospice Care, Community Based | 5835 Ne 122nd Ave Ste 135, Portland, OR 97230-1083 | 2014-12-03 |
| 1669891032 | Seasons Hospice & Palliative Care of Oregon, LLC | Hospice Care, Community Based | 6500 Sw Macadam Ave, Ste 160, Portland, OR 97239-3565 | 2014-04-14 |
| 1598925729 | Hospice of Darke County, Inc | Hospice Care, Community Based | 1237 W Sr 67, Portland, IN 47371-1344 | 2008-06-11 |
| 1699778720 | Hospice Care of The Northwest, LLC. | Hospice Care, Community Based | 6130 Ne 78th Ct Ste C10, Portland, OR 97218-4800 | 2005-05-23 |
| 1720601693 | New Century Hospice Delaware LLC | Hospice Care, Community Based | 53 Baxter Blvd, Portland, ME 04101-1827 | 2020-05-26 |
| 1174051668 | Housecall Providers Services, LLC | Hospice Care, Community Based | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2017-05-26 |
| 1962955641 | Thomas Godfrey | Hospice Care, Community Based | 12725 Sw 66th Ave Ste 107, Portland, OR 97223-2546 | 2016-07-28 |
| 1871972224 | Connected Healthcare, Inc. | Hospice Care, Community Based | 7515 Ne Ambassador Pl, Suite C, Portland, OR 97220-1379 | 2015-05-19 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on LEGACY VISITING NURSE ASSOCIATION.
| 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.