SELECT HOME CARE PORTLAND, LLC (NPI# 1417348178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417348178 |
| Entity Type | Organization |
| Organization Name | SELECT HOME CARE PORTLAND, LLC |
| Other Organization Name | SELECT HOME CARE |
| Practice Address |
5319 Sw Westgate Dr Suite #240 Portland OR 97221-2411 |
| Practice Telephone | 5034885948 |
| Practice Fax Number | 5037150536 |
| Mailing Telephone | 5034885948 |
| Mailing Fax Number | 5037150536 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2016-12-30 |
| Authorized Official Name | MR. SCOTT T WITT (MANAGING PARTNER) |
| Authorized Official Telephone | 5034885948 |
| Authorized Official Credential | BSME, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 15-2207 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500702118 | 05 |
| Other Name | Type Code |
|---|---|
| Select Home Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SELECT HOME CARE PORTLAND, LLC | 5319 Sw Westgate Dr Suite #240, Portland, OR 97221 |
| Street Address |
5319 SW WESTGATE DR SUITE #240 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417923939 | Larry S Hart | Psychologist | 5319 Sw Westgate Dr, #147, Portland, OR 97221-2430 | 2006-02-24 |
| 1043857444 | Tara Jessie Palansky | Marriage & Family Therapist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2019-12-04 |
| 1376100511 | Sarah Elizabeth Rosemary Holmes | Speech-Language Pathologist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2019-05-23 |
| 1164944922 | Caroline Susannah Salter | Speech-Language Pathologist | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2017-07-13 |
| 1902289929 | Anna Waters | Speech-Language Pathologist | 5319 Sw Westgate Dr, Ste 120, Portland, OR 97221-2313 | 2015-07-08 |
| 1932509239 | Lisa Sloan Strom | Counselor | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2014-08-25 |
| 1376955583 | The Hope Connection LLC | Marriage & Family Therapist | 5319 Sw Westgate Dr, Suite 113, Portland, OR 97221-2411 | 2014-05-21 |
| 1760821128 | Jennifer Besser | Counselor | 5319 Sw Westgate Dr, Suite117, Portland, OR 97221-2411 | 2013-06-19 |
| 1205274156 | Elizabeth Marie Gregory | Counselor | 5319 Sw Westgate Dr, Portland, OR 97221-2411 | 2013-06-12 |
| 1205107729 | Portland Traditional Acupuncture | Acupuncturist | 5319 Sw Westgate Dr, Ste 148, Portland, OR 97221-2411 | 2012-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382638 | Compassionate Home Care of Maine LLC | In Home Supportive Care | 49 Ballpark Dr, Portland, ME 04103-1678 | 2020-10-05 |
| 1396352381 | Zara Homecare LLC | In Home Supportive Care | 19025 Se Yamhill St Apt 202, Portland, OR 97233-5578 | 2020-09-24 |
| 1750994984 | Mercy Home Care Agency LLC | In Home Supportive Care | 2057 Se 122nd Ave, Portland, OR 97233-1305 | 2020-08-27 |
| 1780201343 | Prestige Home Care, LLC | In Home Supportive Care | 75 Bishop St Ste 8, Portland, ME 04103-2614 | 2020-06-30 |
| 1356966063 | Tlc Angels, Inc | In Home Supportive Care | 1717 Congress St Ste 3, Portland, ME 04102-1983 | 2020-06-09 |
| 1619501954 | Sunshine Home Care LLC | In Home Supportive Care | 85 Grant St Apt A22, Portland, ME 04101-2285 | 2020-02-25 |
| 1528690021 | Veritas Care of Maine Inc | In Home Supportive Care | 570 Brighton Ave Ste B2, Portland, ME 04102-2357 | 2020-02-12 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1790322519 | Ismael A Ali | In Home Supportive Care | 246 Auburn St 112, Portland, ME 04103-0410 | 2019-12-01 |
| 1366096323 | Green Leaf Residential Care LLC | In Home Supportive Care | 24 Wellesley Ests, Portland, ME 04103-1170 | 2019-07-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.