Warm Springs Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WARM SPRINGS HOME HEALTH CARE INC

Doing business as

Warm Springs Home Health Care of Oregon

Practice address

10570 SE Washington St
Suite 213
Portland, OR 97216

Phone

(503) 832-7031

Fax

(503) 926-9507

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Alphie De Guzman

Title

President

Phone

(503) 832-7031

Specialties & licenses 1

Addresses

Other names 1

• Warm Springs Home Health Care of Oregon Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Home health agency certification: CCN 387166

Legal name

WARM SPRINGS HOME HEALTH CARE INC

Doing business as

WARM SPRINGS HOME HEALTH CARE OF OREGON

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 13, 2019

Last certification

Mar 13, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 23, 2014 in OR

Enrollment address

10570 SE Washington St
Ste 213
Portland, OR 97216-2846
HHA Branch

Listed as

Warm Springs Home Health Care of OregonCCN 387166

Ownership

Proprietary

Certified

Mar 13, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1750830725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 SE WASHINGTON ST",
            "address_2": "SUITE 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162846",
            "telephone_number": "503-832-7031",
            "fax_number": "503-926-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10570 SE WASHINGTON ST",
            "address_2": "SUITE 213",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-832-7031",
            "fax_number": "503-926-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARM SPRINGS HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "ALPHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-832-7031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warm Springs Home Health Care of Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessa Waring, LMT
• Hannah Warinner
• Petros Waritu, REGISTERED NURSE
• Chad Thomas Warkentin, LMT
• Amber Elizabeth Banks Warlick, FNP
• Hana Warmflash
• Jonathan H Warmflash, D.M.D
• Clinton L Warne, MD
• Christy Warneke, RN
• Stephanie Warneke, M.A. LPC

• Home Health Agency in Portland, OR
• Providers in Portland, OR by specialty
• Home Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.