Active NPI
PNW Home Care, LLC
- In Home Supportive Care Agency
- Bend, OR
National Provider Identifier
1699520296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PNW HOME CARE, LLC
- Practice address
- 2195 NE Professional CT Ste 15
Bend, OR 97701-6028 - Phone
- (541) 510-1877
- NPI assigned
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Mosman
- Title
- Owner
- Phone
- (541) 633-7436
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2195 NE Professional CT Ste 15
Bend, OR 97701-6028
Mailing address
2195 NE Professional CT Ste 15
Bend, OR 97701-6028
Phone (541) 510-1877
Other names 1
- Right at Home Central Oregon
National Provider Directory
National Provider DirectoryLocations
2195 NE Professional Ct
Ste 15
Bend, OR 97701
Phone (541) 510-1877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1699520296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 NE PROFESSIONAL CT STE 15",
"city": "BEND",
"state": "OR",
"postal_code": "977016028",
"telephone_number": "541-510-1877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2195 NE PROFESSIONAL CT STE 15",
"city": "BEND",
"state": "OR",
"postal_code": "977016028",
"telephone_number": "541-510-1877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PNW HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "MOSMAN",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-633-7436"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Right at Home Central Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.