Alsan Residential Service LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ALSAN RESIDENTIAL SERVICE LLC

Practice address

3055 SE Persons CT
Milwaukie, OR 97267-4659

Phone

(503) 305-7325

Fax

(503) 974-9502

NPI assigned

Jul 14, 2022

Organization subpart

No

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

Authorized official

Name

Tolif B Gemechu

Title

Director

Phone

(614) 625-8806

Specialties & licenses 1

Addresses

Other names 1

• Alsan Residential Service LLC Doing business as

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1649904616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 SE PERSONS CT",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674659",
            "telephone_number": "503-305-7325",
            "fax_number": "503-974-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 SE PERSONS CT",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972674659",
            "telephone_number": "503-305-7325",
            "fax_number": "503-974-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALSAN RESIDENTIAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "GEMECHU",
        "authorized_official_first_name": "TOLIF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-625-8806"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alsan Residential Service LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ahmed Ali
• Kiren Ali, MS
• Alif Healthcare LLC
• Dieuson Alix
• Cherie Allcroft, ATC
• Aliah Alsarraf, M.A
• Andrei Joseph Altavas, PT
• Aaron William Altman
• Priscilla Hope Alvarado
• Babak Amali, OCCUPATIONAL THERAPI

• All providers in Milwaukie, OR
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.