Active NPI
CP Medford Or Hospice, LLC
- Community Based Hospice Care Agency
- Medford, OR
National Provider Identifier
1750103883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CP MEDFORD OR HOSPICE, LLC
- Practice address
- 2033 Commerce Dr
Medford, OR 97504-9744 - Phone
- (541) 732-6500
- NPI assigned
- Oct 29, 2024
- 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
- Terri Warren
- Title
- Chief Executive Officer
- Phone
- (310) 480-2982
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2033 Commerce Dr
Medford, OR 97504-9744
Mailing address
2033 Commerce Dr
Medford, OR 97504-9744
Other names 1
- Providence at Home with Compassus Hospice Care, Southern Oregon
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D0681033 | Providence Home Care and Hospice | Certificate of waiver | Dec 31, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1750103883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 COMMERCE DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 COMMERCE DR",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049744",
"telephone_number": "541-732-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CP MEDFORD OR HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-29",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "TERRI",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "310-480-2982"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Providence at Home with Compassus Hospice Care, Southern Oregon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.