HD Industries, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2315 Issued in OR

Legal business name

HD INDUSTRIES, LLC

Doing business as

Home Instead Senior Care

Practice address

4850 SW Scholls Ferry Rd Ste 302
Portland, OR 97225-1696

Phone

(503) 894-8796

Fax

(503) 914-1773

NPI assigned

Jan 25, 2018

Last updated

Jan 25, 2018By 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. Charles F. Johnson

Title

Director of Operations

Phone

(503) 894-8796

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

Locations

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1487152336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-894-8796",
            "fax_number": "503-914-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 SW SCHOLLS FERRY RD STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251696",
            "telephone_number": "503-894-8796",
            "fax_number": "503-914-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "503-894-8796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.