At Home Senior Solutions

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2226 Issued in OR

Legal business name

AT HOME SENIOR SOLUTIONS

Practice address

700 E Main St
Suite 101
Medford, OR 97504-7138

Phone

(541) 772-7070

Fax

(541) 779-0701

NPI assigned

Apr 23, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Randy Bean

Title

Owner/Director

Phone

(541) 772-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1487041810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047138",
            "telephone_number": "541-772-7070",
            "fax_number": "541-779-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "address_2": "SUITE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047138",
            "telephone_number": "541-772-7070",
            "fax_number": "541-779-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME SENIOR SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "BEAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "541-772-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670432",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Medford, OR
• Providers in Medford, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.