ELIJAH RAIN HART (NPI# 1801419890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801419890 |
| Entity Type | Individual |
| Full Name | ELIJAH RAIN HART |
| Practice Address |
9125 Sw 55th Ave Portland OR 97219-5018 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5034774622 |
| Mailing Telephone | 5032380769 |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2020-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
9125 SW 55TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558686576 | Mentor Abi | Community Based Residential Treatment Facility, Mental Illness | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2010-04-01 |
| 1245830371 | Alec David Bondietti | Case Manager/Care Coordinator | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2020-10-28 |
| 1205452612 | Jade Lynn Marasco-wetzel | Technician | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2020-06-22 |
| 1033739826 | Omar Bah | Case Manager/Care Coordinator | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2020-04-21 |
| 1467858902 | Benjamin Strobel | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-11-11 |
| 1275939712 | Ross Nixon | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-11-11 |
| 1629474176 | Jason Zerbel | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-11-11 |
| 1669877023 | Krystal Castro | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-10-28 |
| 1740685106 | Allison Lane Rotunno | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-10-28 |
| 1770988131 | Sarah Lynn Marie Dupree | Adult Companion | 9125 Sw 55th Ave, Portland, OR 97219-5018 | 2014-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862994 | Tanika Barsegian | Technician | 15311 Se River Forest Dr, Portland, OR 97267-3501 | 2020-02-11 |
| 1740831627 | Edith Joan Marti | Technician | 304 Se 162nd Ave Apt 405, Portland, OR 97233-3866 | 2019-09-23 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1235367228 | New England Family Healthcare | Technician | 125 Presumpscot St., #9, Portland, ME 04103 | 2009-06-29 |
| 1174122782 | Kelvina Nicole Cornett | Technician | 13317 Se Powell Blvd, Portland, OR 97236-3335 | 2020-10-23 |
| 1841899275 | Bridgett J Palmer | Technician | 13942 Ne Glisan St, Portland, OR 97230-3350 | 2020-10-16 |
| 1083212781 | Haili Michelle Jones | Technician | 7405 Se 84th Ave, Portland, OR 97266-5840 | 2020-10-14 |
| 1316545056 | Cash A Crouse | Technician | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2020-10-14 |
| 1275131922 | Elizabeth Rose Anderson | Technician | 2375 Nw Glisan St, Portland, OR 97210-3420 | 2020-10-14 |
| Find all providers in PORTLAND | ||||
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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.