First Advent Mission

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

FIRST ADVENT MISSION

Practice address

1055 N 5TH St Unit 93
Jacksonville, OR 97530-9654

Phone

(541) 702-2204

NPI assigned

Aug 12, 2011

Last updated

Aug 17, 2011By 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

Sharon Lee Shields

Title

In Home Services

Phone

(541) 702-2204

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1477832053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 5TH ST UNIT 93",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309654",
            "telephone_number": "541-702-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 5TH ST UNIT 93",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309654",
            "telephone_number": "541-702-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ADVENT MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "IN HOME SERVICES",
        "authorized_official_telephone_number": "541-702-2204"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chore Provider in Jacksonville, OR
• Providers in Jacksonville, OR by specialty
• Chore Provider in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.