Siskiyou Home Health Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SISKIYOU HOME HEALTH SERVICES

Practice address

700 S Main St
Suite 2
Yreka, CA 96097-3354

Phone

(530) 842-7325

Fax

(530) 842-1028

NPI assigned

Jun 27, 2005

Last updated

Jun 23, 2015By 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

Mrs. Marijo Welborn, RN

Title

Executive Director

Phone

(530) 842-7325

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1700882461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973354",
            "telephone_number": "530-842-7325",
            "fax_number": "530-842-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973354",
            "telephone_number": "530-842-7325",
            "fax_number": "530-842-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIYOU HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "WELBORN",
        "authorized_official_first_name": "MARIJO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-842-7325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07708FCA",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07708F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Barbara Shepard, MFT
• Siskiyou Chiropractic & Massage
• Siskiyou County Public Health Department
• Siskiyou Eye Center, Medical Group, Inc (Siskiyou Eye Center)
• Siskiyou Family Healthcare, Inc. (Siskiyou Family Healthcare)
• Siskiyou Hospital Inc (Fairchild Dental Clinic)
• Siskiyou Hospital Inc. (Siskiyou Family Healthcare)
• Siskiyou Hospital, Inc. (Fairchild Medical Center)
• Siskiyou Hospital, Inc. (Fairchild Medical Center)
• Siskiyou Optical

• Home Health Agency in Yreka, CA
• Providers in Yreka, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.