Organization Active NPI

Trust Home Healthcare LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1023356391
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
46-1831014 Issued in OR
Legal business name
TRUST HOME HEALTHCARE LLC
Practice address
10706 SW Capitol Hwy Apt 58
Portland, OR 97219-6880
Phone
(503) 475-8802
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Jamal M Dar Sr., 01,01,1978
Title
President
Phone
50344758802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 46-1831014 OR Primary

Addresses

Primary practice location

10706 SW Capitol Hwy Apt 58
Portland, OR 97219-6880

Mailing address

10706 SW Capitol Hwy Apt 58
Portland, OR 97219-6880
Phone (503) 475-8802

Other names 1

  • Home HealthcareAgency Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1023356391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SW CAPITOL HWY APT 58",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196880",
            "telephone_number": "503-475-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 SW CAPITOL HWY APT 58",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972196880",
            "telephone_number": "503-475-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUST HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "50344758802",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "01,01,1978"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OR",
            "license": "46-1831014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home HealthcareAgency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.