Organization Active NPI

Danmar, Inc.

Doing business as BrightStar of Portland North/East

  • Home Health Agency
  • Portland, OR
National Provider Identifier
1790076792
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-1501 Issued in OR
Legal business name
DANMAR, INC.
Doing business as
BrightStar of Portland North/East
Practice address
825 NE 20TH Ave
Suite 336
Portland, OR 97232-2275
Phone
(503) 688-5575
Fax
(503) 688-5950
NPI assigned
Apr 25, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Ms. Mary J. Kidd
Title
Owner/Branch Manager
Phone
(503) 688-5575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13-1501 OR Primary
Home Infusion Agency 251F00000X OR
In Home Supportive Care Agency 253Z00000X OR

Addresses

Primary practice location

825 NE 20TH Ave
Suite 336
Portland, OR 97232-2275

Mailing address

825 NE 20TH Ave
Suite 336
Portland, OR 97232-2275
Phone (503) 688-5575

Other names 1

  • BrightStar of Portland North/East Doing business as

National Provider Directory

National Provider Directory

Locations

825 NE 20th Ave
Ste 336
Portland, OR 97232
Phone (503) 688-5575

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1790076792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 20TH AVE",
            "address_2": "SUITE 336",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322275",
            "telephone_number": "503-688-5575",
            "fax_number": "503-688-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 20TH AVE",
            "address_2": "SUITE 336",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322275",
            "telephone_number": "503-688-5575",
            "fax_number": "503-688-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANMAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/BRANCH MANAGER",
        "authorized_official_telephone_number": "503-688-5575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1501",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar of Portland North/East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.