Organization Active NPI

Jaatima Adult Foster Home LLC

  • Home Health Aide
  • Albany, OR
National Provider Identifier
1366313231
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
JAATIMA ADULT FOSTER HOME LLC
Practice address
2454 Lyon St SE
Albany, OR 97322-4803
Phone
(978) 594-3949
Fax
(541) 791-7670
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Mariama MarongNPI 1366255648
Title
Licensee
Phone
(978) 594-3949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2454 Lyon St SE
Albany, OR 97322-4803

Mailing address

2454 Lyon St SE
Albany, OR 97322-4803
Phone (978) 594-3949

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1366313231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 LYON ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224803",
            "telephone_number": "978-594-3949",
            "fax_number": "541-791-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 LYON ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224803",
            "telephone_number": "978-594-3949",
            "fax_number": "541-791-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAATIMA ADULT FOSTER HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "MARONG",
        "authorized_official_first_name": "MARIAMA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "978-594-3949"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.