NPI 1194980615

Innovative Senior Care Home Health of Portland LLC

Organisation Home Health Agency Clackamas, OR

Practice location

Address: 10121 SE Sunnyside Rd STE 160, Clackamas, OR 97015-5710
Phone: (503) 582-9246
Fax: (503) 685-9047
Mailing address: 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511

Authorised official

Name: Joshua L. Proffitt
Title: President
Phone: (337) 233-1307

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X

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Registry record

NPI: 1194980615
Entity type: Organization
NPI issued: 24 Jul 2008
Record last updated: 15 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.