Vancouver Home Health Care Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VANCOUVER HOME HEALTH CARE AGENCY LLC

Practice address

8885 SW Canyon Rd Ste 123
Portland, OR 97225-3455

Phone

(503) 360-0464

Fax

(360) 975-4306

NPI assigned

Aug 26, 2019

Organization subpart

Yes

Parent organization

VANCOUVER HOME HEALTH CARE AGENCY LLCAs reported in NPPES

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

Authorized official

Name

Mr. Rayon Raymond

Title

Administrator

Phone

(360) 975-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Vancouver Home Health Care Agency Doing business as
• Vancouver Home Health Care Agency LLC Former legal business name

Electronic endpoints 1

Tax ID family

Vancouver Home Health Care Agency LLC2 organizations share this tax ID, including this one

Part of

Vancouver Home Health Care Agency LLC

Other organizations with this tax ID 1

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

• Vancouver Home Health Care Agency LLC

  • Home Health Agency
  • Vancouver, WA
  • NPI 1356708895
  NPD tax ID

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1346897287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845871",
            "telephone_number": "360-975-7070",
            "fax_number": "360-975-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 SW CANYON RD STE 123",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253455",
            "telephone_number": "503-360-0464",
            "fax_number": "360-975-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANCOUVER HOME HEALTH CARE AGENCY LLC",
        "enumeration_date": "2019-08-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "RAYON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-975-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE",
            "identifier": "1346897287",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Netsmart",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Netsmart",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8885 SW Canyon Rd Ste 200",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972253431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vancouver Home Health Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vancouver Home Health Care Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Keeona G Vance
• Terrill Lana Vance, LMT
• Vienna Rose Vance
• Charlotte Vancleve, PMHNP
• Vancouver Clinic Inc
• Daniel Gregg Vandaam
• Edward Vandehey
• Tara R Vandehey, CADC II/QMHP
• Emily Vandekieft
• Rebekah Elizabeth Vanden Heuvel, CSWA

• Home Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.