PDX Elite Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PDX ELITE CARE INC

Doing business as

PDX Elite Care Inc

Practice address

707 SW Washington St Ste 1100
Portland, OR 97205-3528

Phone

(503) 444-2466

Fax

(888) 610-2910

NPI assigned

Apr 8, 2022

Last updated

May 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Helena A Lopes-Culp, CEO

Title

Administrator

Phone

(503) 444-2466

Specialties & licenses 1

Addresses

Other names 1

• PDX Elite Care Inc Doing business as

Locations

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1710629977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1942",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970751942",
            "telephone_number": "503-619-7295",
            "fax_number": "888-610-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SW WASHINGTON ST STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053528",
            "telephone_number": "503-444-2466",
            "fax_number": "888-610-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDX ELITE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "LOPES-CULP",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-444-2466",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDX Elite Care Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.