Griswold Home Care Registry

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2269 Issued in OR

Legal business name

GRISWOLD HOME CARE REGISTRY

Practice address

520 SE Columbia River Dr Apt 316
Vancouver, WA 98661-8034

Phone

(503) 250-0418

NPI assigned

Apr 29, 2014

Organization subpart

Yes

Parent organization

NELSON DEVELOPMENT COMPANYAs reported in NPPES

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

Authorized official

Name

Miss David Allen Nelson

Title

Owner/Director

Phone

(503) 250-0418

Specialties & licenses 1

Addresses

Part of

Griswold Home Care Registry

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1104236140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SE COLUMBIA RIVER DR APT 316",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618034",
            "telephone_number": "503-250-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SE COLUMBIA RIVER DR APT 316",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986618034",
            "telephone_number": "503-250-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRISWOLD HOME CARE REGISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NELSON DEVELOPMENT COMPANY",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "503-250-0418",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.