North Coast Home Care, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH COAST HOME CARE, INC.

Practice address

210 Ivy Ave
Tillamook, OR 97141-2216

Phone

(503) 842-8755

Fax

(503) 842-9992

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Fisher

Title

President

Phone

(503) 842-8755

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Coast Home Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Astoria, OR
  • NPI 1528269180

  1658498803

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

North Coast Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• North Coast Home Care, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Astoria, OR
  • NPI 1528269180
  NPD tax ID

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1265529747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 IVY AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412216",
            "telephone_number": "503-842-8755",
            "fax_number": "503-842-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 IVY AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412216",
            "telephone_number": "503-842-8755",
            "fax_number": "503-842-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-842-8755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OR",
            "license": "NPC-0001368",
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122887",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis R Nerness, MD
• Faye M Newcomb, MS
• Jamie L Niemi
• Danielle Nightshade, PT
• Dania L Nolazco, RN
• Northwest Medical Foundation of Tillamook
• Northwest Medical Foundation of Tillamook
• Northwest Medical Foundation of Tillamook
• Northwest Medical Foundation of Tillamook
• Northwest Medical Foundation of Tillamook

• Durable Medical Equipment & Medical Supplies in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.