DUST AVENGERS LLC NPI 1295541738

NPI Information

  • NPI: 1295541738
  • Provider Name: DUST AVENGERS LLC
  • Classification: In Home Supportive Care - 253Z00000X
  • Entity Type: Organization
  • Address: 820 NW 12TH AVE APT 308
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 479-8376

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NPI Details

DUST AVENGERS LLC is an in home supportive care in Portland, OR. The provider is 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. DUST AVENGERS LLC NPI is 1295541738. The provider is registered as an organization entity type.

The provider's business location address is:

820 NW 12TH AVE APT 308
PORTLAND, OR
ZIP 97209-046
Phone: (503) 479-8376

The provider's authorized official is Mackenzie Ryan .
The authorized official title is Sole Member and has the following contact phone number (503) 479-8376.

The enumeration date for this NPI number is 12/9/2024 and was last updated on 12/9/2024.

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
1251B00000XCase ManagementNo
2251V00000XVoluntary or CharitableNo
3253Z00000XIn Home Supportive CareYes
4261QC1800XClinic/CenterCorporate HealthNo
5261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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: 11/21/2025

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