Organization Active NPI

Integricare, Inc.

  • Home Health Agency
  • Roseburg, OR
National Provider Identifier
1891760328
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
13-1368 Issued in OR
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09-2806MedicaidOR

Other names 1

  • Douglas Home and Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amedisys Home Health Care3 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

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.

Verify at the official NPI Registry.