Organization Active NPI

Roth Senior Care, LLC

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1194193383
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2189 Issued in OR
Legal business name
ROTH SENIOR CARE, LLC
Practice address
10415 SE Stark St Ste a
Portland, OR 97216-2764
Phone
(503) 335-0626
Fax
(503) 335-0648
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mrs. Brittany Nicole Goddard
Title
Managing Director
Phone
(503) 335-0626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2189 OR Primary

Addresses

Primary practice location

10415 SE Stark St Ste a
Portland, OR 97216-2764

Mailing address

10415 SE Stark St Ste a
Portland, OR 97216-2764
Phone (503) 335-0626

Other names 2

  • Home Instead #289, 374, 710 Doing business as
  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

10415 SE Stark St
Ste A
Portland, OR 97216

4538 NE Sandy Blvd
Portland, OR 97213
Phone (503) 335-0626

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1194193383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 SE STARK ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162764",
            "telephone_number": "503-335-0626",
            "fax_number": "503-335-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 SE STARK ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162764",
            "telephone_number": "503-335-0626",
            "fax_number": "503-335-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTH SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "503-335-0626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead #289, 374, 710",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2026; 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.