OPTION CARE AT LEGACY HEALTH LLC


Address: 16195 Sw 72nd Avenue, Portland, OR 97224-7766
Phone: 8663478660

OPTION CARE AT LEGACY HEALTH LLC (NPI# 1841350527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841350527
Entity Type Organization
Organization Name OPTION CARE AT LEGACY HEALTH LLC
Other Organization Name OPTION CARE AT LEGACY HEALTH
Practice Address 16195 Sw 72nd Avenue
Portland
OR 97224-7766
Mailing Address 4259 Paysphere Cir
Chicago
IL 60674-0042
Practice Telephone 8663478660
Practice Fax Number 8663478662
Mailing Telephone 8008796137
Enumeration Date 2006-12-11
Last Update Date 2016-08-15
Authorized Official Name CLIFF BERMAN (SECRETARY)
Authorized Official Telephone 8008796137
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332BP3500X Durable Medical Equipment & Medical Supplies
Specialization: Parenteral & Enteral Nutrition
RP0001173CS OR Suppliers
N 3336S0011X Pharmacy
Specialization: Specialty Pharmacy
RP0001173CS OR Suppliers
N 251F00000X Home Infusion Agencies
Y 3336H0001X Pharmacy
Specialization: Home Infusion Therapy Pharmacy
RP0001173CS OR Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
WA 6028997 05
OK 026863 05
AK MS009OR 05

Other Provider/Organization Names

Other Name Type Code
Option Care At Legacy Health Doing Business As Name - Organization

Other Provider IDs and Locations

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
1598362386 Option Care At Legacy Health LLC Home Infusion 16195 Sw 72nd Ave, Portland, OR 97224-7766 2020-10-05
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

Office Location

Street Address 16195 SW 72ND AVENUE
City PORTLAND
State OR
Zip Code 97224-7766

Providers in the same zip code

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 Information

Taxonomy Code 3336H0001X
Grouping Suppliers
Classification Pharmacy
Specialization Home Infusion Therapy Pharmacy

Taxonomy Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Notes: Source: National Home Infusion Association [1/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669668752 Walgreens Specialty Pharmacy LLC Pharmacy 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008 2007-09-21
1447361514 Good Samaritan Hospital Corvallis Pharmacy 501 Nw Elks Dr Ste 201, Corvallis, OR 97330-3757 2006-08-31
1063458313 Asante Health Systems, Inc. Pharmacy 2900 E. Barnett Rd. Ste. 1, Medford, OR 97504-8380 2006-06-22
1558693291 Providence Health & Services - Oregon Pharmacy 840 Royal Ave, Suite 120, Medford, OR 97504-6461 2010-02-05
1497935985 Asante Pharmacy 2825 E Barnett Rd, Medford, OR 97504-8332 2007-11-13

Competitor

Search similar providers

City PORTLAND
Zip Code 97224

Improve Information

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Dataset Information

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.

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