Active NPI
Kenneth Cole
- Foster Care Agency
- Eugene, OR
National Provider Identifier
1669888244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 519093
- Practice address
- 938 W Hilliard LN
Eugene, OR 97404-3014 - Phone
- (541) 735-3643
- Fax
- (541) 735-3645
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 519093 | OR | Primary |
Addresses
Primary practice location
938 W Hilliard LN
Eugene, OR 97404-3014
Mailing address
938 W Hilliard LN
Eugene, OR 97404-3014
Phone (541) 735-3643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 519093 | OR | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407110400000",
"number": "1669888244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 W HILLIARD LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043014",
"telephone_number": "541-735-3643",
"fax_number": "541-735-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 W HILLIARD LN",
"city": "EUGENE",
"state": "OR",
"postal_code": "974043014",
"telephone_number": "541-735-3643",
"fax_number": "541-735-3645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2014-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "OR",
"license": "519093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.