Carson Holdings, LLC
In Home Supportive Care in Portland, OR. Organization (NPI-2).
NPI number1356820906
StatusActive
Last updated in NPPESApr 19, 2021
Details
- NPI
- 1356820906
- Entity type
- Organization (NPI-2)
- Legal business name
- Carson Holdings, LLC
- Organization subpart
- No
- Enumeration date
- Aug 13, 2018
- Certification date
- Apr 19, 2021
- Last updated
- Apr 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | 15-2184 | OR | Yes |
Other names
- Homewatch Caregivers Of Portland (Doing Business As)
Practice location
3880 Se 8th Ave Ste 110Portland, OR 97202-3772
Phone 503-284-4440 · Fax 503-281-4612
Mailing address
3880 Se 8th Ave Ste 110Portland, OR 97202-3772
Phone 503-284-4440 · Fax 503-281-4612
Authorized official
Andy Delahunty
Executive Vice President
5032844440
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