Catherine Jensens Foster Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

580410 Issued in OR

Legal business name

CATHERINE JENSENS FOSTER HOME

Practice address

108 Ash Drive
Rogue River, OR 97537

Phone

(541) 299-0370

Fax

(541) 582-8218

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Add Jensen

Title

Owner

Phone

(541) 299-0370

Specialties & licenses 1

Addresses

Other names 1

• Eddy's Old Fashioned Hamburgers Doing business as

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1609314509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ASH DRIVE",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-299-0370",
            "fax_number": "541-582-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 ASH DRIVE",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "97537",
            "telephone_number": "541-299-0370",
            "fax_number": "541-582-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE JENSENS FOSTER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "ADD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-299-0370",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "580410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eddy's Old Fashioned Hamburgers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Anders
• Marty Lynn Artoff, LMT
• Kacie Lauren Blackwell Berry, NP
• Sherry Arlene Bowman-Harkness, N.S
• Rachel Suzann Boyle, PA-C
• Michelle Louise Clarke
• Terrence L Clement II, DC
• Penny L Cosner, LMT
• David Frank, D.O.
• Cathy Lynn Freitas, LMT

• Adult Care Home Facility in Rogue River, OR
• Providers in Rogue River, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.