Provider Demographics
NPI:1417755174
Name:ONYX AT HOME CARE, LLC
Entity type:Organization
Organization Name:ONYX AT HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SR. VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-866-7151
Mailing Address - Street 1:856 NW BOND ST STE 230
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-2941
Mailing Address - Country:US
Mailing Address - Phone:458-292-5004
Mailing Address - Fax:458-292-5011
Practice Address - Street 1:856 NW BOND ST STE 230
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-2941
Practice Address - Country:US
Practice Address - Phone:458-292-5004
Practice Address - Fax:458-292-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care