Active NPI
Josefina Figueroa
- In Home Supportive Care Agency
- Salem, OR
National Provider Identifier
1134624067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 504040
- Practice address
- 4669 Idaho Ave NE
Salem, OR 97305-2732 - Phone
- (971) 240-1152
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 504040 | OR | Primary |
Addresses
Primary practice location
4669 Idaho Ave NE
Salem, OR 97305-2732
Mailing address
4669 Idaho Ave NE
Salem, OR 97305-2732
Phone (971) 240-1152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3790846 | Other | OR | DRIVERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 504040 | OR | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1134624067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4669 IDAHO AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973052732",
"telephone_number": "971-240-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4669 IDAHO AVE NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973052732",
"telephone_number": "971-240-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIGUEROA",
"first_name": "JOSEFINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OR",
"license": "504040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "3790846",
"state": "OR"
}
],
"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 Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.