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RESCUE LIFE SENIOR CARE AGENCY
NPI 1003307653
In Home Supportive Care in Portland, OR

Active since May 18, 2018
12640 SE STARK ST, PORTLAND, OR 97233(971) 319-6171 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rescue Life Senior Care Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESCUE LIFE SENIOR CARE AGENCY (NPI 1003307653) is a healthcare organization registered as an in home supportive care in Portland, Oregon and active in the NPI registry since May 2018. The organization maintains a secondary practice location in Portland and lists Rosanna S Hunnicutt, President, as its authorized official.

NPPES Registry Identity

NPI1003307653
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameRESCUE LIFE SENIOR CARE AGENCY
Location Address12640 SE STARK STPortland, OR 97233-1058
Mailing Address12640 Se Stark StPortland, OR 97233-1058 · (971) 319-6171 · Fax (971) 352-6916
Phone(971) 319-6171
Organization SubpartNo
Authorized OfficialRosanna S HunnicuttPresident · (818) 235-9253
Enumeration DateMay 18, 2018
✔ NPI 1003307653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
License✔ Licensed in OR · 15-2334
Definition
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.
12640 SE STARK ST, Portland, OR 97233
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Secondary Practice Location 1

Location 112640 SE Stark StPortland, OR 97233-1058 · Phone (971) 319-6171

Other Identifiers 1

Medicaid1104364900OR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NENA JOHNSTONE PSY D PC
Psychologist (Clinical)
12640 SE STARK ST
PORTLAND, OR 97233
Multnomah County (503) 252-2256

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rescue Life Senior Care Agency's NPI number?

The NPI number for Rescue Life Senior Care Agency is 1003307653. It was assigned to this organization in the NPPES registry on May 18, 2018.

Where is Rescue Life Senior Care Agency located?

Rescue Life Senior Care Agency is located at 12640 SE Stark St, Portland, OR 97233. The listed phone number is (971) 319-6171.

What is Rescue Life Senior Care Agency's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Rescue Life Senior Care Agency was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.