NPIMap

Organization Active NPI

Partners Home Health LLC

  • Home Health Agency
  • Bend, OR
National Provider Identifier
1063581247
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
131371 Issued in OR
Legal business name
PARTNERS HOME HEALTH LLC
Practice address
2698 NE Courtney Dr
Suite 101
Bend, OR 97701-7637
Phone
(541) 382-5882
Fax
(541) 382-2960
NPI assigned
Nov 6, 2006
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Mr. Eric Alexander
Title
Ceo, Administrator
Phone
(541) 382-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 131371 OR Primary

Addresses

Primary practice location

2698 NE Courtney Dr
Suite 101
Bend, OR 97701-7637

Mailing address

2698 NE Courtney Dr
Suite 101
Bend, OR 97701-7637
Phone (541) 382-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030623000011 OR Part A Provider - Home Health Agency 2062322084 Practice locations: Redmond, OR; La Pine, OR; Bend, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063581247. Details of each certification follow.

Home health agency certification: CCN 387067

Legal name
PARTNERS HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 1, 1983
Last certification
Aug 21, 2019
Ownership / control type
Non-Profit
Organization structure
LLCNon-profit
Incorporated
Jun 21, 1996 in OR
Enrollment address
2075 NE Wyatt CT
BLDG B
Bend, OR 97701-7686

Care Compare: Home health agency

Medicare Care Compare
Listed as
Partners Home HealthCCN 387067 · All quality measures
Overall star rating
2 of 5
Ownership
Non-Profit
Certified
Oct 1, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Partners Home Health 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2698 NE Courtney Dr
Ste 101
Bend, OR 97701
Phone (541) 382-5882

141 NW 6th St
Ste B
Redmond, OR 97756
Phone (541) 382-5882

755 SW 7th St
Ste C
Redmond, OR 97756
Phone (541) 382-5882

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory Hagfors Individual W-2 Managing EmployeeCeo Apr 11, 2022
Partners in Care, Inc. Organization, Bend, OR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Dec 31, 2008 100%
John Clark Individual Corporate Officer Nov 11, 2024
W-2 Managing EmployeeCfo Nov 11, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 78

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1063581247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 NE COURTNEY DR",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017637",
            "telephone_number": "541-382-5882",
            "fax_number": "541-382-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 NE COURTNEY DR",
            "address_2": "SUITE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017637",
            "telephone_number": "541-382-5882",
            "fax_number": "541-382-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO, ADMINISTRATOR",
        "authorized_official_telephone_number": "541-382-5882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "131371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.