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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC
NPI 1194980615
Home Health in Clackamas, OR

Active since July 24, 2008CLIA 38D0910720 · Waiver
10121 SE SUNNYSIDE RD STE 160, CLACKAMAS, OR 97015(503) 582-9246(503) 685-9047 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2026, May 6, 2025, Jan 25, 2023 and 4 more (7 updates tracked since 2016).

About Innovative Senior Care Home Health Of Portland Llc NPPES

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

INNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC (NPI 1194980615) is a healthcare organization registered as a home health in Clackamas, Oregon and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through December 31, 2027 and lists Joshua L. Proffitt, President, as its authorized official.

NPPES Registry Identity

NPI1194980615
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameINNOVATIVE SENIOR CARE HOME HEALTH OF PORTLAND LLC
Location Address10121 SE SUNNYSIDE RD STE 160Clackamas, OR 97015-5710
Mailing Address901 Hugh Wallis Rd SLafayette, LA 70508-2511 · (337) 233-1307 · Fax (337) 443-4154
Phone(503) 582-9246
Fax(503) 685-9047
Organization SubpartNo
Authorized OfficialJoshua L. ProffittPresident · (337) 233-1307
Enumeration DateJuly 24, 2008
Last NPPES UpdateJuly 15, 20267 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1194980615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
10121 SE SUNNYSIDE RD STE 160, Clackamas, OR 97015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0910720

Innovative Senior Care Home Health Of Portland Dba Assured Home Health · Clackamas, OR
Active · expires Dec 31, 2027
CLIA Number38D0910720
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorJennifer Crawford
Laboratory Phone(503) 582-9246
Laboratory LocationInnovative Senior Care Home Health Of Portland Dba Assured Home Health10121 SE Sunnyside Rd, Suite 160, Clackamas, OR 97015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Innovative Senior Care Home Health Of Portland LLC's NPI number?

The NPI number for Innovative Senior Care Home Health Of Portland LLC is 1194980615. It was assigned to this organization in the NPPES registry on July 24, 2008.

Where is Innovative Senior Care Home Health Of Portland LLC located?

Innovative Senior Care Home Health Of Portland LLC is located at 10121 SE Sunnyside Rd Ste 160, Clackamas, OR 97015. The listed phone number is (503) 582-9246.

What is Innovative Senior Care Home Health Of Portland LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Innovative Senior Care Home Health Of Portland LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0910720) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovative Senior Care Home Health Of Portland LLC accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Innovative Senior Care Home Health Of Portland 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 Innovative Senior Care Home Health Of Portland LLC was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.