Integricare, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

13-1367 Issued in OR

Legal business name

INTEGRICARE, INC.

Doing business as

Community Homecare of Willamette Valley

Practice address

117 NE 5TH St
Suite B
McMinnville, OR 97128-4992

Phone

(503) 472-0488

Fax

(503) 472-4160

NPI assigned

Feb 21, 2006

Last updated

Aug 22, 2020By 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

Jon C Estes

Title

Vice President/Cfo

Phone

(203) 741-6565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Homecare of Willamette Valley Doing business as

Tax ID family

Amedisys Home Health Care3 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.

• Integricare, Inc.

  dba Douglas Homecare and Hospice

  • Community Based Hospice Care Agency
  • Roseburg, OR
  • NPI 1659346823
  NPD tax ID
• Integricare, Inc.

  dba Douglas Home and Hospice

  • Home Health Agency
  • Roseburg, OR
  • NPI 1891760328
  NPD tax ID

Locations

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194790360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S CHERRY ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923537",
            "telephone_number": "203-741-6565",
            "fax_number": "203-269-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NE 5TH ST",
            "address_2": "SUITE B",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284992",
            "telephone_number": "503-472-0488",
            "fax_number": "503-472-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "203-741-6565"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13-1367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09-2911",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Homecare of Willamette Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Lynn Imlah, QHMA
• Ashley Ingalls
• Roseanna Marie Inkeles, NCMA
• Stephen B. Inkeles, M.D.
• Richard Wayne Inman
• Sharon Ison
• Megan Iversen
• Melissa Ivey
• J Black No LLC
• J Scott Gibson MD PC

• Home Health Agency in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Home Health Agency in Oregon

• 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.