Active NPI
Integricare, Inc.
- Home Health Agency
- Roseburg, OR
National Provider Identifier
1891760328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 13-1368
- Legal business name
- INTEGRICARE, INC.
- Practice address
- 500 SE Cass Ave
Suite 260
Roseburg, OR 97470-3103 - Phone
- (541) 440-2583
- Fax
- (541) 440-2530
- NPI assigned
- Feb 20, 2006
- 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
- Jon C Estes
- Title
- Vice President/Cfo
- Phone
- (203) 741-6464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 13-1368 | OR | Primary |
Addresses
Primary practice location
500 SE Cass Ave
Suite 260
Roseburg, OR 97470-3103
Mailing address
9 S Cherry St
Wallingford, CT 06492-3537
Phone (203) 741-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09-2806 | Medicaid | OR |
Other names 1
- Douglas Home and Hospice
National Provider Directory
National Provider Directory- Tax ID family
- Amedisys Home Health Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- McMinnville, OR
- NPI 1194790360
-
- Community Based Hospice Care Agency
- Roseburg, OR
- NPI 1659346823
Locations
1600 Valley River Dr
Ste 170
Eugene, OR 97401
Phone (541) 255-2448
12021 NE Glenn Widing Dr
Bldg G
Portland, OR 97220
Phone (503) 253-5155
1820 NW Mulholland Dr
Roseburg, OR 97470
Phone (541) 440-3052
3220 State St
Ste 100
Salem, OR 97301
Phone (503) 364-9850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891760328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 S CHERRY ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064923537",
"telephone_number": "203-741-6464",
"fax_number": "203-269-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SE CASS AVE",
"address_2": "SUITE 260",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703103",
"telephone_number": "541-440-2583",
"fax_number": "541-440-2530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRICARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ESTES",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VICE PRESIDENT/CFO",
"authorized_official_telephone_number": "203-741-6464"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OR",
"license": "13-1368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09-2806",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Douglas Home and Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.