Organization Active NPI

Mobile Memory Enrichment, LLC.

  • In Home Supportive Care Agency
  • Hillsboro, OR
National Provider Identifier
1346001674
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MOBILE MEMORY ENRICHMENT, LLC.
Doing business as
Mobile Memory Enrichment
Practice address
136 NE 7TH Ave Apt C
Hillsboro, OR 97124-3271
Phone
(503) 662-9222
NPI assigned
Jan 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mrs. Jesse H Azzopardi, CDSNPI 1326727413
Title
Owner
Phone
(503) 662-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

136 NE 7TH Ave Apt C
Hillsboro, OR 97124-3271

Mailing address

PO Box 752
Hillsboro, OR 97123-0752
Phone (503) 662-9222

Other names 1

  • Mobile Memory Enrichment Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1346001674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971230752",
            "telephone_number": "503-662-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 NE 7TH AVE APT C",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243271",
            "telephone_number": "503-662-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEMORY ENRICHMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "AZZOPARDI",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-662-9222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Memory Enrichment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.