NPIMap

Organization Active NPI

First Call Home Health Agency, LLC

  • Home Health Agency
  • Salem, OR
National Provider Identifier
1740260801
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13 1375 Issued in OR
Legal business name
FIRST CALL HOME HEALTH AGENCY, LLC
Practice address
2608 Cascadia Industrial St SE
Salem, OR 97302-1372
Phone
(503) 371-4567
Fax
(503) 371-4569
NPI assigned
Jan 17, 2006
Last updated
Sep 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Authorized official

Name
Mr. Jacob Mullin
Title
Ceo
Phone
(503) 371-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 13 1375 OR Primary

Addresses

Primary practice location

2608 Cascadia Industrial St SE
Salem, OR 97302-1372

Mailing address

2608 Cascadia Industrial St SE
Salem, OR 97302-1372
Phone (503) 371-4567

Other identifiers 4

IdentifierTypeStateIssuer
100226MedicaidOR
520030001OtherFIRSTCHOICE 65 NUMBER
820030000OtherREGENCE BLUECROSS NUMBER
J456401OtherSECURE HORIZONS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20021210000035 OR Part A Provider - Home Health Agency 2163330374 Practice locations: Salem, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740260801. Details of each certification follow.

Home health agency certification: CCN 387147

Legal name
FIRST CALL HOME HEALTH AGENCY, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 15, 2003
Last certification
Jan 16, 2019
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Oct 18, 2002 in OR
Enrollment address
2608 Cascadia Industrial St SE
Salem, OR 97302-1372

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Call Home Health Agency, LLCCCN 387147 · All quality measures
Overall star rating
2.5 of 5
Ownership
Non-Profit
Certified
May 15, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D1007231First Call Home Health Agency LLC2608 Cascadia Industrial St SE, Salem, OR 97302Certificate of waiverDec 10, 2026

National Provider Directory

National Provider Directory

Locations

2608 Cascadia Industrial St SE
Salem, OR 97302
Phone (503) 371-4567

565 Union St NE
Ste 205
Salem, OR 97301
Phone (503) 584-1594

688 High St NE
Salem, OR 97301
Phone (503) 371-4567

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sheryl Mullin Individual 5% Or Greater Direct Ownership InterestOwner Feb 10, 2010 100%
Jacob Mullin Individual W-2 Managing EmployeeCeo Mar 1, 2006

Practitioners & affiliated clinicians

Affiliated clinicians 137

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1740260801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 CASCADIA INDUSTRIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021372",
            "telephone_number": "503-371-4567",
            "fax_number": "503-371-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 CASCADIA INDUSTRIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021372",
            "telephone_number": "503-371-4567",
            "fax_number": "503-371-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CALL HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-371-4567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "13 1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100226",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCHOICE 65 NUMBER",
            "identifier": "520030001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUECROSS NUMBER",
            "identifier": "820030000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURE HORIZONS NUMBER",
            "identifier": "J456401",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.