History Makers, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2204 Issued in OR

Legal business name

HISTORY MAKERS, INC

Doing business as

Home Helpers # 58362

Practice address

220 Cinbar Dr
Roseburg, OR 97471-9385

Phone

(541) 229-5263

Fax

(541) 229-5265

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Frances Brookergardner, RN

Title

Administrator

Phone

(541) 229-5263

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Home Helpers # 58362 Doing business as

Tax ID family

History Makers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• History Makers

  dba Home Helpers/Direct Link #58362

  • In Home Supportive Care Agency
  • Roseburg, OR
  • NPI 1619215183
  NPD tax ID
• History Makers, Inc.

  • Home Health Agency
  • Roseburg, OR
  • NPI 1679908628
  NPD tax ID

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1134462294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CINBAR DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719385",
            "telephone_number": "541-229-5263",
            "fax_number": "541-229-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CINBAR DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719385",
            "telephone_number": "541-229-5263",
            "fax_number": "541-229-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISTORY MAKERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "BROOKERGARDNER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-229-5263",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521319",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers # 58362",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Ann Hill
• Cheryl I Hinshaw, CNM
• Alison Marie Hinson, LPC
• Kristina Leokadia Hinton, PHARM.D.
• History Makers (Home Helpers/Direct Link #58362)
• History Makers, Inc.
• Anne Marie Hix
• Kellynn Ho, DMD
• Gordon Hodges
• Susan Hoerner

• In Home Supportive Care Agency in Roseburg, OR
• Providers in Roseburg, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.