Organization Active NPI

MBCG, LLC

  • In Home Supportive Care Agency
  • Beaverton, OR
National Provider Identifier
1699143420
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2281 Issued in OR
Legal business name
MBCG, LLC
Doing business as
Home Instead Senior Care
Practice address
14780 SW Osprey Dr Ste 295
Beaverton, OR 97007-8073
Phone
(503) 747-4663
NPI assigned
Sep 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Authorized official

Name
Lynnae Rhoades
Title
Operations Manager
Phone
(503) 747-4663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2281 OR Primary

Addresses

Primary practice location

14780 SW Osprey Dr Ste 295
Beaverton, OR 97007-8073

Mailing address

14780 SW Osprey Dr Ste 295
Beaverton, OR 97007-8073
Phone (503) 747-4663

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

14780 SW Osprey Dr
Ste 295
Beaverton, OR 97007
Phone (503) 747-4663

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1699143420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 295",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078073",
            "telephone_number": "503-747-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR STE 295",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078073",
            "telephone_number": "503-747-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBCG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "LYNNAE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "503-747-4663"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "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 Sep 10, 2015; 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.