NPIMap

Organization Active NPI

Personal Home Care

  • Home Health Agency
  • Salem, OR
National Provider Identifier
1649606849
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
15-2020 Issued in OR
Legal business name
PERSONAL HOME CARE
Practice address
1320 Lewis St SE
Salem, OR 97302-2526
Phone
(503) 371-1495
Fax
(503) 371-1612
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mrs. Sharon Lee Moore, RN
Title
President
Phone
(503) 949-3914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 15-2020 OR Primary

Addresses

Primary practice location

1320 Lewis St SE
Salem, OR 97302-2526

Mailing address

1320 Lewis St SE
Salem, OR 97302-2526
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

1320 Lewis St SE
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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1649606849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LEWIS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022526",
            "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": "1320 LEWIS ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022526",
            "telephone_number": "503-371-1495",
            "fax_number": "503-371-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-949-3914",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Sep 19, 2013; 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.