Organization Active NPI

Max Care 100, Inc.

  • In Home Supportive Care Agency
  • Eugene, OR
National Provider Identifier
1902227358
Registry record updated Jan 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAX CARE 100, INC.
Practice address
1310 Coburg Rd Ste 10
Eugene, OR 97401-5200
Phone
(541) 214-4788
NPI assigned
Jan 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2014

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

Authorized official

Name
William Leland Johnson, RN
Title
President
Phone
(541) 214-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1310 Coburg Rd Ste 10
Eugene, OR 97401-5200

Mailing address

1310 Coburg Rd Ste 10
Eugene, OR 97401-5200
Phone (541) 214-4788

Other names 1

  • Comfort Keepers #970 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": "1388534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388534400000",
    "number": "1902227358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 10",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-214-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 COBURG RD STE 10",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015200",
            "telephone_number": "541-214-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX CARE 100, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-01",
        "last_updated": "2014-01-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LELAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-214-4788",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Keepers #970",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.