Organization Active NPI

Our Place Multicultural Community Center

  • Home Health Agency
  • Longview, WA
National Provider Identifier
1487148789
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
60440919 Issued in WA
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 FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.