1533, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2347 Issued in OR

Legal business name

1533, LLC

Doing business as

Home Instead of Central Oregon

Practice address

296 SW Columbia St Ste C
Bend, OR 97702-1020

Phone

(541) 330-6400

Fax

(541) 330-7362

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cole Hutchinson Mack

Title

Business Owner

Phone

(541) 330-6400

Specialties & licenses 1

Addresses

Other names 1

• Home Instead of Central Oregon Doing business as

Locations

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1023529559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 SW COLUMBIA ST STE C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021020",
            "telephone_number": "541-330-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 SW COLUMBIA ST STE C",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021020",
            "telephone_number": "541-330-6400",
            "fax_number": "541-330-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1533, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "HUTCHINSON",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "541-330-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead of Central Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Bend, OR
• Providers in Bend, 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 Oct 24, 2017; 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.