Homewood Community Healthcare LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOMEWOOD COMMUNITY HEALTHCARE LLC

Doing business as

Homewood Assisted Living

Practice address

17999 SE River Rd
Milwaukie, OR 97267-5885

Phone

(503) 659-6600

NPI assigned

May 27, 2024

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(801) 447-9829

Specialties & licenses 1

Addresses

Other names 1

• Homewood Assisted Living Doing business as

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1194565341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17999 SE RIVER RD",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675885",
            "telephone_number": "503-659-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWOOD COMMUNITY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-447-9829"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homewood Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theodore Cordell Holm, PT
• Kimberly Anne Holt, PT
• Nicole Holt, CERTIFIED OCCUPATION
• Ming Hom I
• Speros Demetre Homer III, M.D.
• Homewoods Heights LLC
• Michelle Maya Honeyman, OTRL
• Abbylynn Bagos Hood, PHYSICAL THERAPIST
• Rodney Hoole, CRM II, CADC-R
• Chelsea Elyse Hooper

• Assisted Living Facility in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.