Active NPI
Lucas Home Care, LLC
- Home Health Agency
- Bend, OR
National Provider Identifier
1912533506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500776832 | Medicaid | OR | |
| 500856430 | Medicaid | OR |
Other names 2
- Interim HealthCare of Central Oregon
- Interim HealthCare of the Willamette Valley
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2174176 | Interim Healthcare of Central Oregon | Certificate of waiver | Oct 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.