NPIMap

Organization Active NPI

Traditions Hospice of Portland, LLC

Doing business as Traditions Health

  • Community Based Hospice Care Agency
  • Portland, OR
National Provider Identifier
1699778720
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRADITIONS HOSPICE OF PORTLAND, LLC
Doing business as
Traditions Health
Practice address
919 NE 19TH Ave Ste 160N
Portland, OR 97232-2210
Phone
(503) 595-2260
Fax
(503) 595-2265
NPI assigned
May 23, 2005
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Brian Lantier
Title
President & Ceo
Phone
(979) 704-6547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

919 NE 19TH Ave Ste 160N
Portland, OR 97232-2210

Mailing address

6840 Carothers Pkwy Ste 550
Franklin, TN 37067-8002
Phone (979) 704-6547

Other practice location 1

2290 Commercial St SE Ste 108
Salem, OR 97302-5376
Phone (503) 485-0840

Other identifiers 1

IdentifierTypeStateIssuer
275482MedicaidOR

Other names 1

  • Traditions Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201230000362 OR Part A Provider - Hospice 9830502343 Practice locations: Portland, OR; Salem, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699778720. Details of each certification follow.

Hospice certification: CCN 381548

Legal name
TRADITIONS HOSPICE OF PORTLAND LLC
Doing business as
TRADITIONS HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 1, 2004
Last certification
Jan 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 1, 2020 in DE
Enrollment address
919 NE 19TH Ave
Ste 160N
Portland, OR 97232-2210

Care Compare: Hospice

Medicare Care Compare
Listed as
Traditions HealthCCN 381548 · All quality measures
Ownership
For-Profit
Certified
Jul 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian T Lantier Individual Corporate OfficerPresident & Ceo Mar 25, 2024
Jose de la Cruz Individual Contracted Managing EmployeeMD; Jan 17, 2025
Traditions Health, LLC Organization, College Station, TX LLC, For-profit 5% Or Greater Direct Ownership Interest Nov 30, 2020 100%
Gbhhc Holding Corporation Organization, New York, NY Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Nov 30, 2020 100%
John Kerndl Individual Corporate OfficerCfo and Secretary Nov 28, 2022
Operational/Managerial ControlCfo and Secretary Nov 28, 2022
Freeman W Smith Individual Corporate OfficerPresident Dec 1, 2020
Operational/Managerial ControlPresident Dec 1, 2020
Anthony Alan Blakeney Individual Corporate OfficerChief Financial Officer & Vice P Nov 30, 2020
Operational/Managerial ControlChief Financial Officer & Vice P Nov 30, 2020
Cesar Flores Individual W-2 Managing EmployeeAd; Oct 14, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Change-of-ownership history 1

DateEventCounterparty
Nov 30, 2020 Change of OwnershipThis provider was the buyer Pioneer Memorial HospiceOR, NPI 1841221306

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1699778720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-6547",
            "fax_number": "866-908-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 NE 19TH AVE STE 160N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322210",
            "telephone_number": "503-595-2260",
            "fax_number": "503-595-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 Commercial St SE Ste 108",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973025376",
            "country_code": "US",
            "telephone_number": "503-485-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRADITIONS HOSPICE OF PORTLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "LANTIER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "979-704-6547"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275482",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.