Organization Active NPI

Lucas Home Care, LLC

  • Home Health Agency
  • Bend, OR
National Provider Identifier
1912533506
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LUCAS HOME CARE, LLC
Doing business as
Interim HealthCare of Central Oregon
Interim HealthCare of the Willamette Valley
Practice address
230 SE 3Rd St # 100
Bend, OR 97702-9949
Phone
(541) 639-4400
NPI assigned
Mar 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mr. Daren Lucas
Title
Owner
Phone
(541) 639-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

230 SE 3Rd St # 100
Bend, OR 97702-9949

Mailing address

230 SE 3Rd St # 100
Bend, OR 97702-9949
Phone (541) 639-4400

Other identifiers 2

IdentifierTypeStateIssuer
500776832MedicaidOR
500856430MedicaidOR

Other names 2

  • Interim HealthCare of Central Oregon Doing business as
  • Interim HealthCare of the Willamette Valley Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2174176Interim Healthcare of Central Oregon230 SE 3Rd St, Suite #100, Bend, OR 97702Certificate of waiverOct 27, 2027

National Provider Directory

National Provider Directory

Locations

230 SE 3rd St
#100
Bend, OR 97702
Phone (541) 639-4400

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1912533506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SE 3RD ST # 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029949",
            "telephone_number": "541-639-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SE 3RD ST # 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029949",
            "telephone_number": "541-639-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCAS HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-16",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-639-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500776832",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500856430",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim HealthCare of Central Oregon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Interim HealthCare of the Willamette Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.