Organization Active NPI

PNW Home Care, LLC

  • In Home Supportive Care Agency
  • Bend, OR
National Provider Identifier
1699520296
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Apr 18, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.