NPIMap

Organization Active NPI

Forget Me Not Family Care Home

  • Adult Day Care Clinic/Center
  • Roseburg, OR
National Provider Identifier
1124722327
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FORGET ME NOT FAMILY CARE HOME
Practice address
2028 NE Airport Rd
Roseburg, OR 97470-1422
Phone
(541) 378-8115
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Pamela K Speta
Title
President
Phone
(541) 378-8115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

2028 NE Airport Rd
Roseburg, OR 97470-1422

Mailing address

2028 NE Airport Rd
Roseburg, OR 97470-1422
Phone (541) 378-8115

Other names 1

  • Forget Me Not Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forget Me Not Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1124722327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 NE AIRPORT RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701422",
            "telephone_number": "541-378-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 NE AIRPORT RD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701422",
            "telephone_number": "541-378-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORGET ME NOT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SPETA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-378-8115"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forget Me Not Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.