Organization Active NPI

Scott Valley Respiratory Home Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Yreka, CA
National Provider Identifier
1265515332
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
SR JHG 99939305 Issued in CA
Legal business name
SCOTT VALLEY RESPIRATORY HOME CARE INC
Practice address
1517 S Oregon St
B
Yreka, CA 96097-3425
Phone
(530) 841-3000
Fax
(530) 841-3002
NPI assigned
Oct 23, 2006
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
Mrs. Pamela Janeen Short
Title
Chief Financial Officer
Phone
(530) 841-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SR JHG 99939305 CA Primary

Addresses

Primary practice location

1517 S Oregon St
B
Yreka, CA 96097-3425

Mailing address

1517 S Oregon St
B
Yreka, CA 96097-3425
Phone (530) 841-3000

Other identifiers 1

IdentifierTypeStateIssuer
DME00952HMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Scott Valley Respiratory Home Care Inc2 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.

Locations

1517 S Oregon St
#B
Yreka, CA 96097
Phone (530) 841-3000

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265515332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 S OREGON ST",
            "address_2": "B",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-841-3000",
            "fax_number": "530-841-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 S OREGON ST",
            "address_2": "B",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-841-3000",
            "fax_number": "530-841-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT VALLEY RESPIRATORY HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JANEEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-841-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "SR JHG 99939305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME00952H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, 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.