Organization Active NPI

Grin in-Home Care Inc.

Doing business as Comfort Keepers

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1104312792
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2317 Issued in OR
Legal business name
GRIN IN-HOME CARE INC.
Doing business as
Comfort Keepers
Practice address
15717 SE McLoughlin Blvd
Portland, OR 97267-3868
Phone
(503) 462-1455
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Authorized official

Name
Krista Grinstead
Title
Owner/Administrator
Phone
(503) 462-1455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2317 OR Primary

Addresses

Primary practice location

15717 SE McLoughlin Blvd
Portland, OR 97267-3868

Mailing address

15717 SE McLoughlin Blvd
Portland, OR 97267-3868
Phone (503) 462-1455

Other names 1

  • Comfort Keepers Doing business as

National Provider Directory

National Provider Directory

Locations

15717 SE McLoughlin Blvd
Portland, OR 97267
Phone (503) 462-1455

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1104312792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15717 SE MCLOUGHLIN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972673868",
            "telephone_number": "503-462-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15717 SE MCLOUGHLIN BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972673868",
            "telephone_number": "503-462-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIN IN-HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "GRINSTEAD",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "503-462-1455"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers",
            "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 Jul 6, 2018; 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.