NPIMap

Organization Active NPI

Affordable Care NW, LLC

Doing business as Helping Hands Home Care

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1033470133
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2249 Issued in OR
Legal business name
AFFORDABLE CARE NW, LLC
Doing business as
Helping Hands Home Care
Practice address
3609 SE 144TH Ave
Portland, OR 97236-2728
Phone
(503) 253-8458
Fax
(503) 257-0911
NPI assigned
Jun 5, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Authorized official

Name
Mr. Toby David Forsberg
Title
Director/President
Phone
(503) 442-3990

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 15-2249 OR
In Home Supportive Care Agency 253Z00000X 15-2249 OR Primary

Addresses

Primary practice location

3609 SE 144TH Ave
Portland, OR 97236-2728

Mailing address

3609 SE 144TH Ave
Portland, OR 97236-2728
Phone (503) 253-8458

Other identifiers 1

IdentifierTypeStateIssuer
15-2249OtherOROREGON DEPARTMENT OF HUMAN SERVICES

Other names 1

  • Helping Hands Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Care NW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1033470133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SE 144TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362728",
            "telephone_number": "503-253-8458",
            "fax_number": "503-257-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 SE 144TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972362728",
            "telephone_number": "503-253-8458",
            "fax_number": "503-257-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE CARE NW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "FORSBERG",
        "authorized_official_first_name": "TOBY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "503-442-3990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "15-2249",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DEPARTMENT OF HUMAN SERVICES",
            "identifier": "15-2249",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helping Hands Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2012; 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.