Organization Active NPI

Innovations by 333 Corp

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Beaverton, OR
National Provider Identifier
1639876360
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
INNOVATIONS BY 333 CORP
Practice address
4000 SW Orbit St Unit 213
Beaverton, OR 97005-2063
Phone
(720) 891-8127
Fax
(866) 374-0253
NPI assigned
Feb 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Mr. Daniel Read IV
Title
Ceo
Phone
(720) 891-8127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

4000 SW Orbit St Unit 213
Beaverton, OR 97005-2063

Mailing address

922 NW Circle Blvd Ste 160-333
Corvallis, OR 97330-1483
Phone (720) 891-8127

Other names 1

  • READ AUTISM RESEARCH & EDUCATION CORP Doing business as

National Provider Directory

National Provider Directory

Locations

922 NW Circle Blvd
Ste 160333
Corvallis, OR 97330

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1639876360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 NW CIRCLE BLVD STE 160-333",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973301483",
            "telephone_number": "720-891-8127",
            "fax_number": "866-374-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SW ORBIT ST UNIT 213",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052063",
            "telephone_number": "720-891-8127",
            "fax_number": "866-374-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS BY 333 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-891-8127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "READ AUTISM RESEARCH & EDUCATION CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.