History Makers, Inc.
Organization Active NPI Home Health Agency · Roseburg, OR
NPI 1679908628 · NPPES record last updated Sep 10, 2013
Key facts
- NPI
- 1679908628
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 15-2204 (OR)
- Legal business name
- HISTORY MAKERS, INC.
- Practice address
- 220 Cinbar Dr
Roseburg, OR 97471-9385 - Phone
- (541) 229-5263
- Fax
- (541) 229-5265
- NPI assigned
- Sep 10, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Carol Frances Brooker-Gardner, RN
- Title
- Administrator
- Phone
- (541) 229-5263
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- History Makers Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 15-2204 | OR | Yes |
Addresses
Primary practice location
220 Cinbar Dr
Roseburg, OR 97471-9385
Mailing address
220 Cinbar Dr
Roseburg, OR 97471-9385
Phone (541) 229-5263
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 521319 | Medicaid | OR |
Other providers in Roseburg, OR
- Cheryl I Hinshaw
- Alison Marie Hinson
- Kristina Leokadia Hinton
- History Makers
- History Makers, Inc
- Anne Marie Hix
- Kellynn Ho
- Gordon Hodges
- Susan Hoerner
- Barbara Ann Hofford
All providers in Roseburg, OR · Home Health Agency in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.