Organization Active NPI

Bis Care LLC

  • Nursing Care Agency
  • Milwaukie, OR
National Provider Identifier
1730815176
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
BIS CARE LLC
Practice address
8642 SE Jennings Ave
Milwaukie, OR 97267-5457
Phone
(605) 496-4836
Fax
(503) 344-6379
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Bisrat Berhe Habite, REGISTERED NURSE
Title
Operator/Owner
Phone
(605) 496-4836

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

8642 SE Jennings Ave
Milwaukie, OR 97267-5457

Mailing address

8642 SE Jennings Ave
Milwaukie, OR 97267-5457
Phone (605) 496-4836

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1730815176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 SE JENNINGS AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675457",
            "telephone_number": "605-496-4836",
            "fax_number": "503-344-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 SE JENNINGS AVE",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972675457",
            "telephone_number": "605-496-4836",
            "fax_number": "503-344-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "HABITE",
        "authorized_official_first_name": "BISRAT",
        "authorized_official_middle_name": "BERHE",
        "authorized_official_title_or_position": "OPERATOR/OWNER",
        "authorized_official_telephone_number": "605-496-4836",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.