Organization Active NPI

Heartnsoul, LLC

  • In Home Supportive Care Agency
  • Gold Hill, OR
National Provider Identifier
1407227796
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEARTNSOUL, LLC
Practice address
3665 Galls Creek Rd
Gold Hill, OR 97525-9811
Phone
(541) 941-2566
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Rose Marie Maddocks
Title
Ceo
Phone
(541) 941-2566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3665 Galls Creek Rd
Gold Hill, OR 97525-9811

Mailing address

3665 Galls Creek Rd
Gold Hill, OR 97525-9811
Phone (541) 941-2566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1407227796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 GALLS CREEK RD",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259811",
            "telephone_number": "541-941-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 GALLS CREEK RD",
            "city": "GOLD HILL",
            "state": "OR",
            "postal_code": "975259811",
            "telephone_number": "541-941-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTNSOUL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "MADDOCKS",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-941-2566"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold Hill, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.