Organization Active NPI

Vancouver Home Health Care Agency LLC

  • Home Health Agency
  • Vancouver, WA
National Provider Identifier
1356708895
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VANCOUVER HOME HEALTH CARE AGENCY LLC
Practice address
201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871
Phone
(360) 975-7070
Fax
(800) 605-3780
NPI assigned
Jan 27, 2016
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Mr. Rayon Raymond
Title
Admin
Phone
(360) 975-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871

Mailing address

201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871
Phone (360) 975-7070

Other identifiers 1

IdentifierTypeStateIssuer
1356708895OtherWAHOME HEALTH

Other names 1

  • Vancouver Home Health Care Agency LLC Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Netsmart
Other URL Netsmart Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Vancouver Home Health Care Agency LLC2 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.

Locations

201 NE Park Plaza Dr
Ste 285
Vancouver, WA 98684

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1356708895",
    "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": "201 NE PARK PLAZA DR STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845871",
            "telephone_number": "360-975-7070",
            "fax_number": "800-605-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER HOME HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "RAYON",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "360-975-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH",
            "identifier": "1356708895",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Netsmart",
            "affiliation": "N",
            "address_1": "10121 SE Sunnyside Rd Ste 300",
            "city": "Clackamas",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970155713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Netsmart",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 NE Park Plaza Dr Ste 200",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986845871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Vancouver Home Health Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vancouver Home Health Care Agency LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vancouver Home Health Care Agency LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

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

Verify at the official NPI Registry.