HDE HOME CARE (NPI# 1932680584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932680584 |
| Entity Type | Organization |
| Organization Name | HDE HOME CARE |
| Practice Address |
12655 Sw Center St Ste 450 Beaverton OR 97005-4726 |
| Practice Telephone | 5036869079 |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |
| Authorized Official Name | BRYAN BRADETICH (STAFFING COORDINATOR) |
| Authorized Official Telephone | 5036869079 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 15-2229 | OR | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HDE HOME CARE LLC | 12655 Sw Center St Ste 450, Beaverton, OR 97005 |
| Street Address |
12655 SW CENTER ST STE 450 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-4726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| 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 |
|---|---|---|---|---|
| 1588148829 | Atlantis Caregiving Corporation | In Home Supportive Care | 3835 Sw 185th Ave Ste 100, Beaverton, OR 97078-1553 | 2018-09-22 |
| 1609327972 | United Homecare Services | In Home Supportive Care | 5050 Sw Griffith Dr Ste 206, Beaverton, OR 97005-2988 | 2016-10-20 |
| 1558720540 | La Cote Fleurie, LLC. | In Home Supportive Care | 18988 Sw Shaw St, Beaverton, OR 97078-1247 | 2016-02-18 |
| 1699143420 | Mbcg, LLC | In Home Supportive Care | 14780 Sw Osprey Dr Ste 295, Beaverton, OR 97007-8073 | 2015-09-10 |
| 1902156797 | Specialty Comfort Care, Inc. | In Home Supportive Care | 11940 Sw Denney Rd, Beaverton, OR 97008-5857 | 2012-09-19 |
| 1326351909 | Visiting Medical Care Providers LLC | In Home Supportive Care | 22740 Sw Rosedale Rd, Beaverton, OR 97007-8754 | 2010-07-23 |
| 1205280286 | Serenity Home Care LLC | In Home Supportive Care | 12725 Sw Millikan Way Ste 300, Beaverton, OR 97005-1687 | 2016-04-15 |
| 1902270671 | Caring for Portland, LLC | In Home Supportive Care | 1915 Nw Amberglen Pkwy Ste 400, Beaverton, OR 97006-6938 | 2015-11-18 |
| 1740588185 | Columbia Care LLC | In Home Supportive Care | 15455 Nw Greenbrier Pkwy, Ste 205, Beaverton, OR 97006-7374 | 2011-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1194334045 | Hearts of Gold Care Inc | In Home Supportive Care | 700 E Port Marina Dr, Hood River, OR 97031-2382 | 2020-07-27 |
| 1407464852 | Home Health Heroes LLC | In Home Supportive Care | 1107 Nw 15th St Apt 214, Gresham, OR 97030-4899 | 2020-07-21 |
| 1750999819 | A Golden Hand Home Care Services | In Home Supportive Care | 858 Lancaster Dr Se, Salem, OR 97317-5831 | 2020-07-15 |
| 1619591476 | Venacarenw | In Home Supportive Care | 6464 Sw Borland Rd Ste C5, Tualatin, OR 97062-8856 | 2020-06-07 |
| 1235750357 | Misty Dawn Harrison | In Home Supportive Care | 3835 Viewcrest Dr Apt D, Medford, OR 97504-7220 | 2020-04-29 |
| 1902436959 | Touching Hearts At Home, Inc. | In Home Supportive Care | 122 Ferry St Sw, Albany, OR 97321-2214 | 2020-01-17 |
| 1487291753 | Penelope Lynn Whitmire | In Home Supportive Care | 2863 Granite Hill Rd, Grants Pass, OR 97526-7743 | 2019-12-05 |
| 1518503127 | Stiles LLC | In Home Supportive Care | 2731 Mia Ct Se, Salem, OR 97306-6301 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HDE HOME CARE.
| 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.