Active NPI
Housecall Providers Services, LLC
Doing business as Housecall Providers Hospice
- Community Based Hospice Care Agency
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOUSECALL PROVIDERS SERVICES, LLC
- Practice address
- 5100 SW Macadam Ave Ste 200
Portland, OR 97239-3827 - Phone
- (971) 202-5500
- Fax
- (971) 202-5555
- NPI assigned
- May 26, 2017
- 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
- Andrew E Wyne
- Title
- Director, Finance
- Phone
- (208) 866-0799
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
5100 SW Macadam Ave Ste 200
Portland, OR 97239-3827
Mailing address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone (971) 202-5501
Other names 1
- Housecall Providers Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170717001362 | OR | Part A Provider - Hospice | 5193095610 | Practice locations: Portland, OR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174051668. Details of each certification follow.
Hospice certification: CCN 381556
- Legal name
- HOUSECALL PROVIDERS SERVICES, LLC
- Doing business as
- HOUSECALL PROVIDERS HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 27, 2009
- Last certification
- Oct 27, 2009
- Ownership / control type
- Non-Profit - Other
- Organization structure
- LLC
- Incorporated
- Apr 26, 2017 in OR
- Enrollment address
- 5100 S Macadam Ave
Ste 200
Portland, OR 97239-3827
Care Compare: Hospice
Medicare Care Compare- Listed as
- Housecall Providers Hospice
- Ownership
- Non-Profit
- Certified
- Oct 27, 2009
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
315 SW 5th Ave
Portland, OR 97204
Phone (503) 416-3395
Ownership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Karrie L Lu | Corporate Director | Mar 9, 2026 | 40% |
| W-2 Managing Employee | Mar 9, 2026 | 40% | |
| Operational/Managerial Control | Mar 9, 2026 | 20% | |
| Kristina M. Youngs | W-2 Managing Employee | May 30, 2017 | 20% |
| Operational/Managerial Control | May 30, 2017 | 20% | |
| Rebecca S Ramsay | W-2 Managing Employee | May 30, 2017 | 40% |
| Operational/Managerial Control | May 30, 2017 | 40% | |
| Pamela R Miner | W-2 Managing Employee | May 30, 2017 | 20% |
| Operational/Managerial Control | May 30, 2017 | 20% | |
| William Joseph Kennedy | W-2 Managing Employee | May 30, 2017 | 20% |
| Operational/Managerial Control | May 30, 2017 | 20% | |
| Careoregon, Inc. | 5% Or Greater Direct Ownership Interest | May 30, 2017 | 100% |
| Operational/Managerial Control | May 30, 2017 | 100% | |
| Amit R Shah | W-2 Managing Employee | May 30, 2017 | |
| Operational/Managerial Control | May 30, 2017 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1205152543
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
-
- Internal Medicine Physician
- Portland, OR
- NPI 1285690826
Operational/Managerial Control, W-2 Managing Employee
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| May 30, 2017 | Change of Ownership | Housecall Providers, Inc. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Geriatric Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1619915774
Acquired from, 2017-05-30
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Portland, OR
- NPI 1104216910
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Portland, OR
- NPI 1487979324
-
- Physician Assistant
- Portland, OR
- NPI 1265757322
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Seattle, WA
- NPI 1093906026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787011200000",
"number": "1174051668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 S MACADAM AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393827",
"telephone_number": "971-202-5501",
"fax_number": "971-228-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 SW MACADAM AVE STE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393827",
"telephone_number": "971-202-5500",
"fax_number": "971-202-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSECALL PROVIDERS SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-26",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A",
"authorized_official_last_name": "WYNE",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR, FINANCE",
"authorized_official_telephone_number": "208-866-0799"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Housecall Providers Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Housecall Providers Hospice",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Housecall Providers Hospice",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.