NPIMap

Organization Active NPI

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

  • In Home Supportive Care Agency
  • Beaverton, OR
National Provider Identifier
1003387663
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Mr. Cristito Santos Velasco, ED. DNPI 1285105841
Title
Administrator
Phone
(541) 992-0709

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

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

Mailing address

12655 SW Center St Ste 470
Beaverton, OR 97005-1690
Phone (503) 746-6190

National Provider Directory

National Provider Directory

Locations

12655 SW Center St
Ste 470
Beaverton, OR 97005
Phone (503) 746-6190

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • 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.