OPTION CARE AT LEGACY HEALTH LLC (NPI# 1598362386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598362386 |
Entity Type | Organization |
Organization Name | OPTION CARE AT LEGACY HEALTH LLC |
Practice Address |
16195 Sw 72nd Ave Portland OR 97224-7766 |
Mailing Address |
3000 Lakeside Dr Ste 300n Bannockburn IL 60015-5405 |
Practice Telephone | 8663478660 |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-05 |
Authorized Official Name | CLIFFORD BERMAN (SECRETARY) |
Authorized Official Telephone | 8008796137 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251F00000X | Home Infusion | Agencies |
Other Name | Type Code |
---|---|
Option Care at Legacy Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861099681 | Option Care At Legacy Health LLC | Home Infusion | 2275 Ne Doctors Dr Ste 10, Bend, OR 97701-6324 | 2020-10-05 |
1841350527 | Option Care At Legacy Health LLC | Durable Medical Equipment & Medical Supplies | 16195 Sw 72nd Avenue, Portland, OR 97224-7766 | 2006-12-11 |
1174875017 | Option Care At Legacy Health LLC | Durable Medical Equipment & Medical Supplies | 2275 Ne Doctors Dr, Suite 10, Bend, OR 97701-6324 | 2012-10-02 |
Street Address |
16195 SW 72ND AVE |
City | PORTLAND |
State | OR |
Zip Code | 97224-7766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710993332 | Integricare, Inc. | Home Health | 16195 Sw 72nd Ave, Portland, OR 97224 | 2006-08-01 |
1932347168 | Christopher Scott Gary | Community Health Worker | 16195 Sw 72nd Ave, Portland, OR 97224-7766 | 2009-01-26 |
1144490913 | Adam Zacker King | Physical Therapist | 16195 Sw 72nd Ave, Portland, OR 97224-7766 | 2008-03-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
Find all providers in zip 97224 |
Taxonomy Code | 251F00000X |
Grouping | Agencies |
Classification | Home Infusion |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992102131 | Western Health Resources | Home Infusion | 5835 Ne 122nd Ave Ste 155, Portland, OR 97230-1085 | 2014-12-03 |
1164556213 | New England Life Care, Inc. | Home Infusion | 108a Industrial Way, Portland, ME 04103-1082 | 2007-03-14 |
1497718944 | Addus Healthcare, Inc. | Home Infusion | 4838 Ne Sandy Blvd., Portland, OR 97213-4992 | 2006-04-07 |
1790076792 | Danmar, Inc. | Home Infusion | 825 Ne 20th Ave, Suite 336, Portland, OR 97232-2275 | 2011-04-25 |
1376526244 | Portland Adventist Medical Center | Home Infusion | 10123 Se Market St, Portland, OR 97216-2532 | 2005-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861099681 | Option Care At Legacy Health LLC | Home Infusion | 2275 Ne Doctors Dr Ste 10, Bend, OR 97701-6324 | 2020-10-05 |
1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
Please comment or provide details below to improve the information on OPTION CARE AT LEGACY HEALTH LLC.
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.