Healthcare Provider Details

I. General information

NPI: 1538448352
Provider Name (Legal Business Name): PARTNERS IN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 NE WYATT CT
BEND OR
97701-7686
US

IV. Provider business mailing address

2075 NE WYATT CT
BEND OR
97701-7686
US

V. Phone/Fax

Practice location:
  • Phone: 541-382-5882
  • Fax:
Mailing address:
  • Phone: 541-382-5882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ERIC ALEXANDER
Title or Position: CEO
Credential:
Phone: 541-382-5882