Active NPI
Right at Home Midwifery Services LLC
- Midwife
- Portland, OR
National Provider Identifier
1154463073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- DEM LD 269194
- Legal business name
- RIGHT AT HOME MIDWIFERY SERVICES LLC
- Practice address
- 3712 SE 76TH Ave
Portland, OR 97206 - Phone
- (503) 314-9186
- Fax
- (503) 771-5501
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eleanor Elizabeth Legare, LDM CPM
- Title
- LLC Member
- Phone
- (503) 314-9186
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | DEM LD 269194 | OR | Primary |
| Midwife | 176B00000X | LM112 | CA |
Addresses
Primary practice location
3712 SE 76TH Ave
Portland, OR 97206
Mailing address
3712 SE 76TH Ave
Portland, OR 97206
Phone (503) 314-9186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000505 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Right at Home Midwifery Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Midwife
- Portland, OR
- NPI 1891742300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154463073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3712 SE 76TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "503-314-9186",
"fax_number": "503-771-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 SE 76TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97206",
"telephone_number": "503-314-9186",
"fax_number": "503-771-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIGHT AT HOME MIDWIFERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEGARE",
"authorized_official_first_name": "ELEANOR",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "503-314-9186",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LDM CPM"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "OR",
"license": "DEM LD 269194",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "CA",
"license": "LM112",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000505",
"state": "OR"
}
],
"endpoints": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.