Organization Active NPI

Pacific Northwest Home Health LLC

  • Home Health Agency
  • Sandy, OR
National Provider Identifier
1134964257
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACIFIC NORTHWEST HOME HEALTH LLC
Practice address
38720 Proctor Blvd
Sandy, OR 97055-8061
Phone
(503) 512-9358
NPI assigned
Jun 29, 2024
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Kimberly Swan SuekNPI 1861333916
Title
Owner
Phone
(503) 954-8263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Registered Nurse 163W00000X NU
Home Health Registered Nurse 163WH0200X NU
Licensed Practical Nurse 164W00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Home Health Agency 251E00000X NU Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

38720 Proctor Blvd
Sandy, OR 97055-8061

Mailing address

12442 SE Lusted Rd
Sandy, OR 97055-7556
Phone (503) 954-8263

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2329162Pacific Northwest Home Health LLC38720 Proctor Blvd, Sandy, OR 97055Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

38720 Proctor Blvd
Sandy, OR 97055
Phone (503) 512-9358

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21578/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1134964257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12442 SE LUSTED RD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557556",
            "telephone_number": "503-954-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38720 PROCTOR BLVD",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558061",
            "telephone_number": "503-512-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC NORTHWEST HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "SUEK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-954-8263"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.