Cancienne LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CANCIENNE LLC

Practice address

1242 N Riverside Ave Ste a
Medford, OR 97501-4619

Phone

(541) 816-4400

Fax

(541) 816-4406

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Michelle L Dunn

Title

Owner

Phone

(541) 690-5391

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CARETEAM Doing business as

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1922578442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 N RIVERSIDE AVE STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014619",
            "telephone_number": "541-816-4400",
            "fax_number": "541-816-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 N RIVERSIDE AVE STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975014619",
            "telephone_number": "541-816-4400",
            "fax_number": "541-816-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCIENNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-690-5391"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN HOME CARE",
            "identifier": "15-2371",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARETEAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen A Campbell, PTA
• Marlon Campos
• Pedro De Oliveira Campos, MD
• Tanner Samuel Canaday, PT, DPT
• Cancer Care of Southern Oregon
• Jennifer L Canganelli, R.D., C.D.E.
• Peter Canning, M.D.
• Christopher E Cannon, MD
• Jennifer Cannon
• Steven Gregory Cannon, MD

• In Home Supportive Care Agency in Medford, OR
• Providers in Medford, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.