Organization · Type 2 NPI

Vancouver Home Health Care Agency LLC

Home Health Agency · Portland, OR

NPI number 1346897287 Active

Practice location

8885 SW Canyon Rd Ste 123
Portland, OR 97225-3455

Call (503) 360-0464 Map

Fax (360) 975-4306

Mailing address

201 NE Park Plaza Dr Ste 200
Vancouver, WA 98684-5871

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	None listed

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1346897287
Entity type: Organization (Type 2)
Issued: Aug 26, 2019
Last updated: Aug 8, 2023
Status: Active
Subpart: Yes of Vancouver Home Health Care Agency LLC

Other names

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Vancouver Home Health Care Agency · doing business as
Vancouver Home Health Care Agency LLC · former legal business name

Authorized official

Mr. Rayon Raymond
Administrator
(360) 975-7070

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346897287

Vancouver Home Health Care Agency LLC's National Provider Identifier is 1346897287, issued on Aug 26, 2019. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Portland, OR. The record was last updated on Aug 8, 2023.