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BLACK SWAN LTD. NPI 1902510753


NPI Information

NPI: 1902510753
Provider Name: BLACK SWAN LTD.
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
700 N DEBORAH RD STE 120
NEWBERG, OR
ZIP 97132
Phone: (503) 583-9505
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BLACK SWAN LTD. is an in home supportive care in Newberg, 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. BLACK SWAN LTD. NPI is 1902510753. The provider is registered as an organization entity type.

The provider's business location address is:

700 N DEBORAH RD STE 120
NEWBERG, OR
ZIP 97132-198
Phone: (503) 583-9505

The provider's authorized official is Jeffrey Chambers .
The authorized official title is Owner and has the following contact phone number (503) 538-9505.

The enumeration date for this NPI number is 1/6/2023 and was last updated on 1/6/2023.


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
1253Z00000XIn Home Supportive CareYes

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: 5/5/2024

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