Nightingale Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NIGHTINGALE HOME HEALTH, INC.

Practice address

11707 NE Glisan St
Portland, OR 97220-2141

Phone

(503) 444-7605

Fax

(503) 334-4359

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Sy

Title

Administrator/President

Phone

(503) 444-7605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Home health agency certification: CCN 387313

Legal name

NIGHTINGALE HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 18, 2016

Last certification

Aug 18, 2016

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jul 29, 2013 in OR

Enrollment address

11707 NE Glisan Street
Portland, OR 97220-2141

Listed as

Nightingale Home HealthCCN 387313

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Aug 18, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melba Domingo, CEO

  • Community Health Worker
  • Portland, OR
  • NPI 1528440542
  NPD (past)

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1376973644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202141",
            "telephone_number": "503-444-7605",
            "fax_number": "503-334-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972202141",
            "telephone_number": "503-444-7605",
            "fax_number": "503-334-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "SY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "503-444-7605"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Niforos, LMT
• Joel T Nigg, PH.D.
• Gregory Lynn Nigh, ND, LAC
• Night Sky Acupuncture
• Nightingale Acupuncture
• Michelle Natalie Nigl-Chang, OT
• Judith A Nigro, DO
• Joycelyn Niimi, O.D.
• Lai Niimi, LPT
• Yana A Nikitin

• 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 Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.