NPIMap

Organization Active NPI

Advantage Home Care of Douglas County, Inc.

  • In Home Supportive Care Agency
  • Roseburg, OR
National Provider Identifier
1912414855
Registry record updated Dec 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2326 Issued in OR
Legal business name
ADVANTAGE HOME CARE OF DOUGLAS COUNTY, INC.
Practice address
251 NE Garden Valley Blvd Ste 102
Roseburg, OR 97470-2085
Phone
(541) 440-0933
NPI assigned
Dec 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2017

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

Authorized official

Name
Clarisa Shepard-RhodesNPI 1942657069
Title
Owner
Phone
(541) 440-0933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 15-2326 OR Primary

Addresses

Primary practice location

251 NE Garden Valley Blvd Ste 102
Roseburg, OR 97470-2085

Mailing address

251 NE Garden Valley Blvd Ste 102
Roseburg, OR 97470-2085
Phone (541) 440-0933

National Provider Directory

National Provider Directory

Locations

251 NE Garden Valley Blvd
Ste 102
Roseburg, OR 97470
Phone (541) 440-0933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514678400000",
    "number": "1912414855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 NE GARDEN VALLEY BLVD STE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702085",
            "telephone_number": "541-440-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NE GARDEN VALLEY BLVD STE 102",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702085",
            "telephone_number": "541-440-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HOME CARE OF DOUGLAS COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-31",
        "last_updated": "2017-12-31",
        "status": "A",
        "authorized_official_last_name": "SHEPARD-RHODES",
        "authorized_official_first_name": "CLARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-440-0933"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "15-2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 31, 2017; 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.