Advocate Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ADVOCATE CARE LLC

Practice address

13033 SE Holgate Blvd
Portland, OR 97236-3913

Phone

(971) 271-8457

Fax

(971) 271-8602

NPI assigned

Jun 17, 2020

Last updated

Jun 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Monroe Woollard

Title

Managing Member

Phone

(541) 601-6070

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1376169292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 JUANIPERO WAY STE 102",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048647",
            "telephone_number": "541-608-2868",
            "fax_number": "541-772-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 SE HOLGATE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972363913",
            "telephone_number": "971-271-8457",
            "fax_number": "971-271-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "WOOLLARD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-601-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525557",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Portland, OR
• Providers in Portland, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.