Organization Active NPI

Obi Home Care Services LLC

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1184425001
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
OBI HOME CARE SERVICES LLC
Practice address
14840 SW 133Rd Ave
Portland, OR 97224-1647
Phone
(503) 430-9125
NPI assigned
Mar 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Woodlyne ObiNPI 1205631215
Title
Manager
Phone
(503) 430-9125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

14840 SW 133Rd Ave
Portland, OR 97224-1647

Mailing address

14840 SW 133Rd Ave
Portland, OR 97224-1647

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1184425001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14840 SW 133RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972241647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14840 SW 133RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972241647",
            "telephone_number": "503-430-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBI HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "OBI",
        "authorized_official_first_name": "WOODLYNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-430-9125"
    },
    "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 Mar 24, 2025; 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.