Organization Active NPI

Vandmark LLC Dba Comfort Keepers

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1144809716
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VANDMARK LLC DBA COMFORT KEEPERS
Practice address
1225 NW Murray Rd Ste 101
Portland, OR 97229-5572
Phone
(503) 643-2010
Fax
(503) 917-4339
NPI assigned
Apr 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Michael Metesan
Title
Owner
Phone
(503) 643-2010

Specialties & licenses 1

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

Addresses

Primary practice location

1225 NW Murray Rd Ste 101
Portland, OR 97229-5572

Mailing address

1225 NW Murray Rd Ste 101
Portland, OR 97229-5572
Phone (503) 643-2010

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mpmetesan@comfortkeepers.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1144809716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 NW MURRAY RD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295572",
            "telephone_number": "503-643-2010",
            "fax_number": "503-917-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NW MURRAY RD STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295572",
            "telephone_number": "503-643-2010",
            "fax_number": "503-917-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDMARK LLC DBA COMFORT KEEPERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "METESAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-643-2010"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpmetesan@comfortkeepers.com",
            "affiliation": "N",
            "endpointDescription": "e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1225 NW Murray Rd Ste 101",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972295572",
            "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 Jun 22, 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.