NPIMap

Organization Active NPI

Community Connection of Northeast Oregon, Inc.

  • In Home Supportive Care Agency
  • La Grande, OR
National Provider Identifier
1427548015
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
COMMUNITY CONNECTION OF NORTHEAST OREGON, INC.
Practice address
2802 Adams Ave
La Grande, OR 97850-5267
Phone
(541) 963-3186
Fax
(541) 963-3187
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Authorized official

Name
Margaret Davidson
Title
Executive Director
Phone
(541) 963-3186

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2802 Adams Ave
La Grande, OR 97850-5267

Mailing address

2802 Adams Ave
La Grande, OR 97850-5267
Phone (541) 963-3186

National Provider Directory

National Provider Directory

Locations

2802 Adams Ave
La Grande, OR 97850
Phone (541) 963-3186

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1427548015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 ADAMS AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978505267",
            "telephone_number": "541-963-3186",
            "fax_number": "541-963-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 ADAMS AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978505267",
            "telephone_number": "541-963-3186",
            "fax_number": "541-963-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONNECTION OF NORTHEAST OREGON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-963-3186"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.