Active NPI
Reynolds Consoltation
- In Home Supportive Care Agency
- Salem, OR
National Provider Identifier
1740654235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 25140000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500670396 | Medicaid | OR |
Other names 1
- Senior Helpers
National Provider Directory
National Provider Directory- Tax ID family
- Davies Home Health Care LLC Dba Senior Helpers
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Riverside, CA
- NPI 1275089674
-
- In Home Supportive Care Agency
- Camp Hill, PA
- NPI 1770972119
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.