NPIMap

Organization Active NPI

Personal Home Care

  • In Home Supportive Care Agency
  • Salem, OR
National Provider Identifier
1538312640
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2020 Issued in OR
Legal business name
PERSONAL HOME CARE
Practice address
2659 Commercial St SE
Suite 290
Salem, OR 97302-4445
Phone
(503) 371-1495
Fax
(503) 371-1612
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mrs. Lisa Desiree Follis
Title
Office Manager
Phone
(503) 371-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2020 OR Primary

Addresses

Primary practice location

2659 Commercial St SE
Suite 290
Salem, OR 97302-4445

Mailing address

PO Box 4246
Salem, OR 97302-8246
Phone (503) 371-1495

National Provider Directory

National Provider Directory
Tax ID family
Personal Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2659 Commercial St SE
Ste 290
Salem, OR 97302
Phone (503) 371-1495

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1538312640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4246",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028246",
            "telephone_number": "503-371-1495",
            "fax_number": "503-371-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL ST SE",
            "address_2": "SUITE 290",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024445",
            "telephone_number": "503-371-1495",
            "fax_number": "503-371-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "FOLLIS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DESIREE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-371-1495",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.