HEALTHY AT HOME PROVIDERS
NPI 1023590841
Clinic/Center - Health Service in Portland, OR

Active since August 29, 2018
3910 NE 99TH AVE, PORTLAND, OR 97220(503) 917-5928(503) 917-5929 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 9, 2020, Aug 29, 2018 (2 updates tracked since 2018).

About Healthy At Home Providers NPPES

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

HEALTHY AT HOME PROVIDERS (NPI 1023590841) is a healthcare organization registered as a health service in Portland, Oregon and active in the NPI registry since August 2018. The organization lists David Gerald Hibbs, Fnp, as its authorized official.

NPPES Registry Identity

NPI1023590841
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameHEALTHY AT HOME LLC
Location Address3910 NE 99TH AVEPortland, OR 97220-3620
Mailing Address3910 Ne 99th AvePortland, OR 97220-3620 · (503) 917-5928 · Fax (503) 917-5929
Fax(503) 917-5929
Organization SubpartNo
Authorized OfficialDavid Gerald HibbsFnp · (503) 917-5928
Enumeration DateAugust 29, 2018
Last NPPES UpdateNovember 9, 20202 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
✔ NPI 1023590841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
3910 NE 99TH AVE, Portland, OR 97220

Other Names 1

Doing Business AsHealthy At Home Providers

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy At Home Providers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Healthy At Home Providers, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1427092683
1808 SE 182ND AVE
Portland, OR 97233
(503) 917-5928
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1235692484
10330 SE 32ND AVE STE 110
Milwaukie, OR 97222
(503) 513-1300
✔ PECOS✔ Accepts Medicare7.8 mi
Nurse Practitioner
NPI 1649665928
4560 SE INTERNATIONAL WAY
Milwaukie, OR 97222
(971) 206-5173
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1366867293
1153 MOLALLA AVE
Oregon City, OR 97045
(503) 515-4004
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healthy At Home LLC's NPI number?

The NPI number for Healthy At Home LLC is 1023590841. It was assigned to this organization in the NPPES registry on August 29, 2018. The provider is doing business as Healthy At Home Providers.

Where is Healthy At Home LLC located?

Healthy At Home LLC is located at 3910 NE 99th Ave, Portland, OR 97220. The listed phone number is (503) 917-5928.

What is Healthy At Home LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Is Healthy At Home LLC enrolled in Medicare?

Yes. Healthy At Home LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy At Home LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healthy At Home LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthy At Home LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Healthy At Home LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healthy At Home LLC was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.