NPIMap

Organization Active NPI

Specialty Comfort Care, Inc.

  • In Home Supportive Care Agency
  • Beaverton, OR
National Provider Identifier
1902156797
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2256 Issued in OR
Legal business name
SPECIALTY COMFORT CARE, INC.
Practice address
11940 SW Denney Rd
Beaverton, OR 97008-5857
Phone
(503) 747-3021
Fax
(503) 747-3021
NPI assigned
Sep 19, 2012
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Ms. Emilia Pina Gomez
Title
Owner
Phone
(503) 333-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2256 OR Primary

Addresses

Primary practice location

11940 SW Denney Rd
Beaverton, OR 97008-5857

Mailing address

PO Box 230712
Tigard, OR 97281-0712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1902156797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230712",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972810712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 SW DENNEY RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085857",
            "telephone_number": "503-747-3021",
            "fax_number": "503-747-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY COMFORT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "PINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-333-6304",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.