NPIMap

Organization Active NPI

Partners in Care, Inc

Doing business as Partners In Care Hospice, Inc

  • Community Based Hospice Care Agency
  • Bend, OR
National Provider Identifier
1336567585
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
16-1031 Issued in OR
Legal business name
PARTNERS IN CARE, INC
Doing business as
Partners In Care Hospice, Inc
Practice address
2075 NE Wyatt CT
Bend, OR 97701-7686
Phone
(541) 382-5882
NPI assigned
Apr 4, 2014
Organization subpart
Yes
Parent organization
PARTNERS IN CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Greg Duane Hagfors
Title
Ceo
Phone
(541) 382-5882

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X
Community Based Hospice Care Agency 251G00000X 16-1031 OR Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

2075 NE Wyatt CT
Bend, OR 97701-7686

Mailing address

2075 NE Wyatt CT
Bend, OR 97701-7686
Phone (541) 382-5882

Other identifiers 1

IdentifierTypeStateIssuer
131990MedicaidOR

Other names 1

  • Partners In Care Hospice, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140612002323 OR Part B Supplier - Clinic/Group Practice 4880503762 Receives reassigned benefits from 9 practitioners
Practice locations: Bend, OR

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Part of
Partners in Care Inc

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2075 NE Wyatt Ct
Bldg B
Bend, OR 97701
Phone (541) 382-5882

2075 NE Wyatt Ct
#A
Bend, OR 97701
Phone (541) 383-3300

51530 Huntington Rd
Ste 1
La Pine, OR 97739
Phone (541) 382-5882

141 NW 6th St
Redmond, OR 97756
Phone (541) 382-5882

755 SW 7th St
Lowr C1
Redmond, OR 97756
Phone (541) 382-5882

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Partners Home Health LLCBend, OR, CCN 387067 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1336567585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-382-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NE WYATT CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017686",
            "telephone_number": "541-382-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARTNERS IN CARE, INC",
        "enumeration_date": "2014-04-04",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "HAGFORS",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-382-5882"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OR",
            "license": "16-1031",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131990",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners In Care Hospice, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.