Organization Active NPI

Nicholas Senior Services, Inc.

  • In Home Supportive Care Agency
  • Central Point, OR
National Provider Identifier
1811344831
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2139 Issued in OR
Legal business name
NICHOLAS SENIOR SERVICES, INC.
Practice address
81 Freeman CT
Central Point, OR 97502-2426
Phone
(541) 734-2700
Fax
(541) 734-3220
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Ms. Indra C Nicholas
Title
President
Phone
(541) 479-2828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2139 OR Primary

Addresses

Primary practice location

81 Freeman CT
Central Point, OR 97502-2426

Mailing address

310 NW a St
Grants Pass, OR 97526-2030
Phone (541) 479-2828

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1811344831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW A ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262030",
            "telephone_number": "541-479-2828",
            "fax_number": "541-479-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FREEMAN CT",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022426",
            "telephone_number": "541-734-2700",
            "fax_number": "541-734-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "INDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-479-2828",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.