Organization Active NPI

Right at Home Midwifery Services LLC

  • Midwife
  • Portland, OR
National Provider Identifier
1154463073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
DEM LD 269194 Issued in OR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X DEM LD 269194 OR Primary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000505MedicaidOR

National Provider Directory

National Provider Directory
Tax ID family
Right at Home Midwifery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.