Sirv Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2263 Issued in OR

Legal business name

SIRV INC

Doing business as

HomeWell Care Services

Practice address

12901 SE 97TH Ave Ste 408
Clackamas, OR 97015-7907

Phone

(503) 344-6044

Fax

(503) 344-6175

NPI assigned

Jul 28, 2016

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy James Spaulding

Title

President

Phone

(503) 344-6044

Specialties & licenses 2

Addresses

Other names 1

• HomeWell Care Services Doing business as

Locations

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1144773839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 408",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157907",
            "telephone_number": "503-344-6044",
            "fax_number": "503-344-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 SE 97TH AVE STE 408",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157907",
            "telephone_number": "503-344-6044",
            "fax_number": "503-344-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-344-6044"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Wayne Siniscal, PHYSICANS ASSISTANT
• Mark Gerald Sinkovitz, PTA
• Julia Sirianni, O.D.
• Diana Watsky Sirkin, OTR/L, CHT
• Amber Sirstad, LPC
• James V Skavaril, MD
• Geoffrey K Skelton, D.C.
• Erin Skoff
• Angelina Rene Skokan, CNM
• Dane James Slagle, CRNA

• In Home Supportive Care Agency in Clackamas, OR
• Providers in Clackamas, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.