OrganizationActive
Health at Home Hospice - Portland, LLC
NPI 1720655665 · Community Based Hospice Care Agency · Wilsonville, OR
Provider details
- NPI number
- 1720655665
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicholas Gachassin, Executive Vice President(337) 233-1307
Specialties & taxonomies
Agencies
Practice location
29757 Sw Boones Ferry Rd Ste B
Wilsonville, OR 97070-7202
Phone: (503) 570-9766
Fax: (503) 685-9047
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 51266
Lafayette, LA 70505-1266
Other names (DBA / former)
- Doing business as
- Brookdale Hospice
Registry dates
- Enumerated
- 2021-06-09
- Last updated
- 2021-11-30
- Certified
- 2021-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.