Active NPI
Home Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Salem, OR
National Provider Identifier
1043876865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- HOME INC.
- Practice address
- 5100 Center St NE
Salem, OR 97317-3217 - Phone
- (503) 917-1955
- Fax
- (503) 990-8686
- NPI assigned
- May 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Matthew Conway
- Title
- Executive Director
- Phone
- (503) 917-1955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
5100 Center St NE
Salem, OR 97317-3217
Mailing address
5100 Center St NE
Salem, OR 97317-3217
Phone (503) 917-1955
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Salem, OR
- NPI 1417513235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557964800000",
"number": "1043876865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973173217",
"telephone_number": "503-917-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 CENTER ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973173217",
"telephone_number": "503-917-1955",
"fax_number": "503-990-8686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-16",
"last_updated": "2019-05-16",
"status": "A",
"authorized_official_last_name": "CONWAY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "503-917-1955"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.