Blue Heron in-Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

15-2358 Issued in OR

Legal business name

BLUE HERON IN-HOME CARE

Practice address

101 NE Eads St
Newport, OR 97365-2840

Phone

(541) 265-7727

Fax

(541) 574-8861

NPI assigned

Feb 7, 2018

Last updated

Feb 7, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Doris Anne Lamb, OWNER

Title

Administrator

Phone

(541) 961-3823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Louis Palmer, D.M.D.

  • General Practice Dentistry
  • Newport, OR
  • NPI 1922006527
  NPD (past)

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1679072409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973650070",
            "telephone_number": "541-265-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NE EADS ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973652840",
            "telephone_number": "541-265-7727",
            "fax_number": "541-574-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "LAMB",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "541-961-3823",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Marie Bird, MS, FNP
• Kenneth Stanley Bishop, D.C.
• Arieanna M Blaylock
• Breanne Sharron Bleichroth
• Patricia D. Blos'E, M.D.
• Lenora Boardman, LPTA
• Shanti Lee Bohlman, RN
• Christopher Malone Bonner-Holland, MSW
• Beatriz Y Botello
• Donna K Boyce, RN

• In Home Supportive Care Agency in Newport, OR
• Providers in Newport, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.