Saint Alphonsus Home Health and Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAINT ALPHONSUS HOME HEALTH AND HOSPICE, LLC

Doing business as

Saint Alphonsus Hospice Care, an Amedisys Partner

Practice address

894 SW 4TH Ave
Ontario, OR 97914-2627

Phone

(541) 889-0847

Fax

(541) 889-8049

NPI assigned

Sep 6, 2006

Last updated

Feb 8, 2013By 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

Mr. William F Borne

Title

Ceo

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Saint Alphonsus Hospice Care, an Amedisys Partner Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Saint Alphonsus Medical Center- Ontario Inc

  dba Saint Alphonsus Medical Group Fruitland Health Plaza

  • Rural Health Clinic/Center
  • Fruitland, ID
  • NPI 1760823397

  Member Of

  NPD member
• Saint Alphonsus Regional Medical Center Inc

  • Psychiatric Hospital Unit
  • Boise, ID
  • NPI 1770687857

  Member Of

  NPD member

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1710080015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "894 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142627",
            "telephone_number": "541-889-0847",
            "fax_number": "541-889-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ALPHONSUS HOME HEALTH AND HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "BORNE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226653",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805917900",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Alphonsus Hospice Care, an Amedisys Partner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Rush, CADCII
• Ken Rush
• Eric C Rysenga, M.D.
• Julie Catherine Rysenga, MD
• Safe Haven Inc
• Saint Alphonsus Hospital
• Saint Alphonsus Medical Center- Ontario Inc
• Saint Alphonsus Medical Center- Ontario Inc
• Saint Alphonsus Medical Center- Ontario Inc
• Saint Alphonsus Medical Center- Ontario Inc (SAMG Glycemic Ontario)

• Community Based Hospice Care Agency in Ontario, OR
• Providers in Ontario, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.