Organization Active NPI

DND Healthcare, LLC

Doing business as Brightstar Healthcare

  • Home Health Agency
  • Portland, OR
National Provider Identifier
1821266099
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-1394 Issued in OR
Legal business name
DND HEALTHCARE, LLC
Doing business as
Brightstar Healthcare
Practice address
10160 SW Nimbus Ave
BLDG F-4
Portland, OR 97223-4338
Phone
(503) 620-6011
Fax
(503) 620-6199
NPI assigned
Feb 11, 2008
Last updated
Feb 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Mr. Dennis Dale Hartvickson
Title
Owner
Phone
(503) 620-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13-1394 OR Primary

Addresses

Primary practice location

10160 SW Nimbus Ave
BLDG F-4
Portland, OR 97223-4338

Mailing address

10160 SW Nimbus Ave
BLDG F-4
Portland, OR 97223-4338
Phone (503) 620-6011

Other names 1

  • BRIGHTSTAR HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Locations

10160 SW Nimbus Ave
Ste F4
Portland, OR 97223
Phone (503) 620-6011

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1821266099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10160 SW NIMBUS AVE",
            "address_2": "BLDG F-4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234338",
            "telephone_number": "503-620-6011",
            "fax_number": "503-620-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 SW NIMBUS AVE",
            "address_2": "BLDG F-4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972234338",
            "telephone_number": "503-620-6011",
            "fax_number": "503-620-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DND HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HARTVICKSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-620-6011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRIGHTSTAR HEALTHCARE",
            "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 Feb 11, 2008; 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.