Organization Active NPI

Multicultural in Home Care Services, LLC

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1174029300
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MULTICULTURAL IN HOME CARE SERVICES, LLC
Practice address
1320 SE 122ND Ave
Portland, OR 97233-1203
Phone
(503) 750-1290
NPI assigned
Apr 5, 2018
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Mohamed Adan Irad
Title
Owner/Manager
Phone
(503) 750-1290

Specialties & licenses 1

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

Addresses

Primary practice location

1320 SE 122ND Ave
Portland, OR 97233-1203

Mailing address

9113 N Fiske Ave
Portland, OR 97203-2793
Phone (503) 750-1290

National Provider Directory

National Provider Directory

Locations

1320 SE 122nd Ave
Portland, OR 97233
Phone (503) 255-2575

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1174029300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9113 N FISKE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972032793",
            "telephone_number": "503-750-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331203",
            "telephone_number": "503-750-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICULTURAL IN HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "IRAD",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ADAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "503-750-1290"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 2019; 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.