Rescue Life Senior Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2334 Issued in OR

Legal business name

RESCUE LIFE SENIOR CARE AGENCY

Practice address

12640 SE Stark St
Portland, OR 97233-1058

Phone

(971) 319-6171

NPI assigned

May 18, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosanna S Hunnicutt

Title

President

Phone

(818) 235-9253

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1003307653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058",
            "telephone_number": "971-319-6171",
            "fax_number": "971-352-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331058",
            "telephone_number": "971-319-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12640 SE Stark St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972331058",
            "country_code": "US",
            "telephone_number": "971-319-6171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESCUE LIFE SENIOR CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "HUNNICUTT",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-235-9253"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104364900",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather F Reppeto, QMHP-R
• Reproductive Medicine Laboratory
• Reprogenetics Oregon
• Caroline Wolfe Bullard Resari, LCSW
• Sheila Resari, LMT
• Ryan Gregory Reseburg, PMHNP
• Juliette Resendez
• Joseph E Resendiz, D.O.
• Ofelio Flores Resendiz Jr.
• Rachelle Ann Reser

• In Home Supportive Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.