Organization Active NPI

Able Palms Home Health of Oregon, LLC

Doing business as Able Palms Home Health of Oregon

  • Home Health Agency
  • Clackamas, OR
National Provider Identifier
1235543000
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABLE PALMS HOME HEALTH OF OREGON, LLC
Doing business as
Able Palms Home Health of Oregon
Practice address
11520 SE Sunnyside Rd
Ste 308
Clackamas, OR 97015-4306
Phone
(503) 698-1615
Fax
(503) 698-1626
NPI assigned
Jun 19, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
John B. Goodman
Title
Presidenet
Phone
(952) 361-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

11520 SE Sunnyside Rd
Ste 308
Clackamas, OR 97015-4306

Mailing address

1107 Hazeltine Blvd
Ste 200
Chaska, MN 55318-1009
Phone (952) 361-8000

Other names 1

  • Able Palms Home Health of Oregon Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1235543000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 HAZELTINE BLVD",
            "address_2": "STE 200",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181009",
            "telephone_number": "952-361-8000",
            "fax_number": "952-361-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 SE SUNNYSIDE RD",
            "address_2": "STE 308",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970154306",
            "telephone_number": "503-698-1615",
            "fax_number": "503-698-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE PALMS HOME HEALTH OF OREGON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENET",
        "authorized_official_telephone_number": "952-361-8000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Able Palms Home Health of Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.