KB LLC Dba Senior Helpers of Portland

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2171 Issued in OR

Legal business name

KB LLC DBA SENIOR HELPERS OF PORTLAND

Practice address

407 NW 17TH Ave Ste 16
Portland, OR 97209-2249

Phone

(503) 892-1189

NPI assigned

May 15, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Kelli Ann Bradley

Title

Owner/Administrator

Phone

(503) 381-9194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1932510682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NW 23RD PL STE 6",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972105580",
            "telephone_number": "503-892-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 NW 17TH AVE STE 16",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092249",
            "telephone_number": "503-892-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB LLC DBA SENIOR HELPERS OF PORTLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "503-381-9194",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin A Kayser Jr., MD
• Madison Kayser
• Melody Dance Kayser
• Marissa Ann Kayton, QMHA
• Corinne Elizabeth Kaz
• KC Snellgrove
• Kci USA, Inc.
• Monica Chan Kdep
• Bory Kea, M.D.
• Toby Ji Keagy

• In Home Supportive Care Agency in Portland, OR
• Providers in Portland, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.