Active NPI
Our Place Multicultural Community Center
- Home Health Agency
- Longview, WA
National Provider Identifier
1487148789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 60440919
- Legal business name
- OUR PLACE MULTICULTURAL COMMUNITY CENTER
- Practice address
- 3108 Fir St
Longview, WA 98632-1939 - Phone
- (360) 449-2567
- NPI assigned
- Jun 20, 2018
- Organization subpart
- Yes
- Parent organization
- THE NOBLE FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ophelia D Noble, HOME CARE AIDE
- Title
- Home Care Aide
- Phone
- (360) 635-5235
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 60440919 | WA | Primary |
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 60440919 | WA | |
| Home Delivered Meals | 332U00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
3108 Fir St
Longview, WA 98632-1939
Mailing address
PO Box 394
Kelso, WA 98626-0031
Phone (360) 635-5235
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1487148789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 394",
"city": "KELSO",
"state": "WA",
"postal_code": "986260031",
"telephone_number": "360-635-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3108 FIR ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986321939",
"telephone_number": "360-449-2567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR PLACE MULTICULTURAL COMMUNITY CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE NOBLE FOUNDATION",
"enumeration_date": "2018-06-20",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "NOBLE",
"authorized_official_first_name": "OPHELIA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "HOME CARE AIDE",
"authorized_official_telephone_number": "360-635-5235",
"authorized_official_credential": "HOME CARE AIDE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WA",
"license": "60440919",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "WA",
"license": "60440919",
"primary": false
},
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.