Active NPI
PG Home Health Inc
- Home Health Agency
- Portland, OR
National Provider Identifier
1346998630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PG HOME HEALTH INC
- Practice address
- 10941 SE Bush St
Unit 1
Portland, OR 97266-2268 - Phone
- (774) 262-7975
- NPI assigned
- Mar 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Ndegwa
- Title
- Owner/President
- Phone
- (774) 262-7975
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10941 SE Bush St
Unit 1
Portland, OR 97266-2268
Mailing address
10941 SE Bush St
Unit 1
Portland, OR 97266-2268
Phone (774) 262-7975
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1346998630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10941 SE BUSH ST",
"address_2": "UNIT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972662268",
"telephone_number": "774-262-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10941 SE BUSH ST",
"address_2": "UNIT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972662268",
"telephone_number": "774-262-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PG HOME HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "NDEGWA",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "774-262-7975"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.