Organization Active NPI

Reynolds Consoltation

  • In Home Supportive Care Agency
  • Salem, OR
National Provider Identifier
1740654235
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
25140000X Issued in OR
Legal business name
REYNOLDS CONSOLTATION
Doing business as
Senior Helpers
Practice address
2659 Commercial Street SE
Suite 270
Salem, OR 97302
Phone
(503) 990-7112
NPI assigned
Nov 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Authorized official

Name
Lila McDonnell
Title
Director of Operations
Phone
(503) 990-7112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 25140000X OR Primary

Addresses

Primary practice location

2659 Commercial Street SE
Suite 270
Salem, OR 97302

Mailing address

2659 Commercial Street SE
Suite 270
Salem, OR 97302

Other identifiers 1

IdentifierTypeStateIssuer
500670396MedicaidOR

Other names 1

  • Senior Helpers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davies Home Health Care LLC Dba Senior Helpers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2659 Commercial St SE
Ste 270
Salem, OR 97302
Phone (503) 990-7112

NPI Registry JSON

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1740654235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL STREET SE",
            "address_2": "SUITE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 COMMERCIAL STREET SE",
            "address_2": "SUITE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97302",
            "telephone_number": "503-990-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNOLDS CONSOLTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "503-990-7112"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "25140000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500670396",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.