Northwest in Home Healthcare Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NORTHWEST IN HOME HEALTHCARE AGENCY

Practice address

20 NE 157TH Ave
Portland, OR 97230-4823

Phone

(503) 250-4685

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By 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

Gelgelu B Felema

Title

Co-Owner/Administrator

Phone

(503) 250-4685

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1720556079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NE 157TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NE 157TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972304823",
            "telephone_number": "503-250-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST IN HOME HEALTHCARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "FELEMA",
        "authorized_official_first_name": "GELGELU",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "503-250-4685"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500718920",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northwest Minimally Invasive Surgery, LLC

• 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 Nov 5, 2018; 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.