Professional Home Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

15-2069 Issued in OR

Legal business name

PROFESSIONAL HOME CARE

Practice address

3318 Lakeside Dr
Eugene, OR 97401-1592

Phone

(541) 342-8302

Fax

(541) 342-3876

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Alola Campbell

Title

Owner

Phone

(541) 342-8302

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518099167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 LAKESIDE DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011592",
            "telephone_number": "541-342-8302",
            "fax_number": "541-342-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 LAKESIDE DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974011592",
            "telephone_number": "541-342-8302",
            "fax_number": "541-342-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ALOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-342-8302"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OR",
            "license": "15-2069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702946",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pro-Medical, LLC
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• Shaelynn Prock
• Megan Proctor
• Professional Consulting Services, Inc.
• Prohealth Family Medicine
• Richard James Prout, PRH
• Cary Marie Provol
• Josephine Casey Witte Pruch, M.ED., LMFT
• Jeremy Mark Pruitt

• Nursing Care Agency in Eugene, OR
• Providers in Eugene, OR by specialty
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.