Individual provider Active NPI

Ruth V Saucier, MCD AND MH-PC20

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1124602032
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
4414 NE Killingsworth St Unit 5
Portland, OR 97218-1458
Phone
(503) 765-9704
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

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

Addresses

Primary practice location

4414 NE Killingsworth St Unit 5
Portland, OR 97218-1458

Mailing address

4414 NE Killingsworth St Unit 5
Portland, OR 97218-1458
Phone (503) 765-9704

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL computer Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1124602032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 NE KILLINGSWORTH ST UNIT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181458",
            "telephone_number": "503-765-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 NE KILLINGSWORTH ST UNIT 5",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972181458",
            "telephone_number": "503-765-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "RUTH",
        "middle_name": "V",
        "credential": "MCD AND MH-PC20",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4414 NE Killingsworth St Unit 5",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972181458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 May 6, 2021; 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.