AGAPE HOSPICE & PALLIATIVE CARE NW LLC NPI 1790456374

NPI Information

NPI: 1790456374
Provider Name: AGAPE HOSPICE & PALLIATIVE CARE NW, LLC

Doing Business As: AGAPE HOSPICE NW

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
10200 SW NIMBUS AVE STE G5
PORTLAND, OR
ZIP 97223
Phone: (503) 746-4740
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AGAPE HOSPICE & PALLIATIVE CARE NW, LLC is a hospice care community based in Portland, OR. AGAPE HOSPICE & PALLIATIVE CARE NW, LLC NPI is 1790456374. The provider is registered as an organization entity type.
The provider Is Doing Business As Agape Hospice Nw.

The provider's business location address is:

10200 SW NIMBUS AVE STE G5
PORTLAND, OR
ZIP 97223-339
Phone: (503) 746-4740
Fax: (503) 746-4740

The provider's authorized official is Larisa Mihaela Louka .
The authorized official title is Ceo and has the following contact phone number (503) 628-9595.

The CLIA number assigned to this NPI record is 38D2254679 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2021 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	16-1087	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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