Organization Active NPI

Pioneer Home Outreach, Inc.

  • Counselor
  • Porterville, CA
National Provider Identifier
1104947787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
PIONEER HOME OUTREACH, INC.
Practice address
317 W Henderson Ave
Porterville, CA 93257-1732
Phone
(559) 781-8585
Fax
(559) 791-0183
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Geraldine A OgansNPI 1568669125
Title
Executive Director
Phone
(559) 781-8585

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

317 W Henderson Ave
Porterville, CA 93257-1732

Mailing address

317 W Henderson Ave
Porterville, CA 93257-1732
Phone (559) 781-8585

Other identifiers 1

IdentifierTypeStateIssuer
5442OtherCAMEDI-CAL

Other names 1

  • Pioneer Twelve Step Outpatient Youth Program Other name

National Provider Directory

National Provider Directory

Locations

317 W Henderson Ave
Porterville, CA 93257
Phone (559) 781-8585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104947787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571732",
            "telephone_number": "559-781-8585",
            "fax_number": "559-791-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571732",
            "telephone_number": "559-781-8585",
            "fax_number": "559-791-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HOME OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGANS",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "559-781-8585"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "5442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Twelve Step Outpatient Youth Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.