Healthy at Home LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HEALTHY AT HOME LLC

Doing business as

Healthy at Home Providers

Practice address

3910 NE 99TH Ave
Portland, OR 97220-3620

Phone

(503) 917-5928

Fax

(503) 917-5929

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

David Gerald Hibbs, APRNNPI 1427092683

Title

FNP

Phone

(503) 917-5928

Specialties & licenses 2

Addresses

Other names 1

• Healthy at Home Providers Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Gerald Hibbs, APRN

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1427092683
  Medicare reassignment Care Compare group NPD Authorized official
• Margaret Anderson, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Milwaukie, OR
  • NPI 1649665928
  Medicare reassignment Care Compare group NPD
• Ashley A Chan, FNP

  • Family Nurse Practitioner
  • Milwaukie, OR
  • NPI 1235692484
  Medicare reassignment Care Compare group
• Amy Stivers, NP

  • Gerontology Nurse Practitioner
  • Oregon City, OR
  • NPI 1366867293
  Medicare reassignment NPD

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1023590841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203620",
            "telephone_number": "503-917-5928",
            "fax_number": "503-917-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203620",
            "telephone_number": "503-917-5928",
            "fax_number": "503-917-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "HIBBS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "503-917-5928",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy at Home Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthmark Inc (CardioGraphics)
• Healthmax LLC
• Healthscripts of America - Portland, LLC
• Healthsource of SE Portland
• Healthstat on-Site Clinic/Saif 2ND Location
• Healthy Family Wellness
• Healthy Happy Now Natural Medicine
• Healthy Living at Home - Portland LLC (Mission Home Health of Portland)
• Healthy Living Community
• Healthy Living Family Medicine, LLC

• Health Service Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.