St. Mary of Bethany - the Helping Hands - in Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ST. MARY OF BETHANY - THE HELPING HANDS - IN HOME CARE

Practice address

12655 SW Center St Ste 470
Beaverton, OR 97005-1690

Phone

(503) 746-6190

Fax

(503) 746-6849

NPI assigned

Dec 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Cristito Santos Velasco, ED. D

Title

Administrator

Phone

(541) 992-0709

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1003387663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 470",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051690",
            "telephone_number": "503-746-6190",
            "fax_number": "503-746-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 SW CENTER ST STE 470",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051690",
            "telephone_number": "503-746-6190",
            "fax_number": "503-746-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY OF BETHANY - THE HELPING HANDS - IN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "VELASCO",
        "authorized_official_first_name": "CRISTITO",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-992-0709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ED. D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152372",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Curtis Alan St. Denis, MA
• Stable Body Physical Therapy
• Peter Stach, DPM
• Crystal Stachera, LMFT
• John Travis Stacy, BA
• John Clayton Stady, CHIROPRACTOR DC

• All providers in Beaverton, OR
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.