NPIMap

Organization Active NPI

Partners in Care, Inc

Doing business as Partners In Care

  • Community Based Hospice Care Agency
  • Bend, OR
National Provider Identifier
1104936400
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
07-00000440 Issued in OR
Legal business name
PARTNERS IN CARE, INC
Doing business as
Partners In Care
Practice address
2075 NE Wyatt CT BLDG B
Bend, OR 97701-7686
Phone
(541) 382-5882
Fax
(541) 388-4221
NPI assigned
Aug 30, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Mr. Gregory Duane Hagfors
Title
Ceo
Phone
(541) 382-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 07-00000440 OR Primary

Addresses

Primary practice location

2075 NE Wyatt CT BLDG B
Bend, OR 97701-7686

Mailing address

2075 NE Wyatt CT
Bend, OR 97701-7686
Phone (541) 382-5882

Other identifiers 1

IdentifierTypeStateIssuer
131990MedicaidOR

Other names 1

  • Partners In Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030418000031 OR Part A Provider - Hospice 4880503762 Practice locations: Redmond, OR; Bend, OR; La Pine, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104936400. Details of each certification follow.

Hospice certification: CCN 381515

Legal name
PARTNERS IN CARE, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 21, 1990
Last certification
Dec 15, 2020
Ownership / control type
Non-Profit - Other
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 2009 in OR
Enrollment address
2075 NE Wyatt CT
BLDG B
Bend, OR 97701-7686

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Partners in CareCCN 381515 · All quality measures
Ownership
Non-Profit
Certified
Nov 21, 1990
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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 Corporate OfficerCeo Apr 12, 2022
W-2 Managing EmployeeCeo Apr 12, 2022
John Clark Individual W-2 Managing EmployeeCfo Nov 11, 2024
Stephen B Kornfeld Individual Corporate DirectorBoard Member Apr 28, 2011

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Partners Home Health LLCBend, OR, CCN 387067 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1104936400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-382-5882",
            "fax_number": "541-633-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT BLDG B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-382-5882",
            "fax_number": "541-388-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "HAGFORS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-382-5882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "07-00000440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131990",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners In Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.