NPIMap

Organization Active NPI

1Stseniorcare LLC

  • Customized Equipment (DME)
  • Tigard, OR
National Provider Identifier
1366759599
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
099071-97 Issued in OR
Legal business name
1STSENIORCARE LLC
Practice address
16387 SW Oneill CT
Tigard, OR 97223-5704
Phone
(503) 590-5928
Fax
(602) 914-5082
NPI assigned
Sep 9, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mrs. Carrie L Tabor, MS
Title
President and Cfo
Phone
(503) 590-5928

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 099071-97 OR
Customized Equipment (DME) 332BC3200X 099071-97 OR Primary

Addresses

Primary practice location

16387 SW Oneill CT
Tigard, OR 97223-5704

Mailing address

16387 SW Oneill CT
Tigard, OR 97223-5704
Phone (503) 590-5928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1366759599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16387 SW ONEILL CT",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235704",
            "telephone_number": "503-590-5928",
            "fax_number": "602-914-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16387 SW ONEILL CT",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235704",
            "telephone_number": "503-590-5928",
            "fax_number": "602-914-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1STSENIORCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CFO",
        "authorized_official_telephone_number": "503-590-5928",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "099071-97",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OR",
            "license": "099071-97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.