COMMUNITY CONNECTION OF NORTHEAST OREGON, INC. (NPI# 1427548015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427548015 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CONNECTION OF NORTHEAST OREGON, INC. |
| Practice Address |
2802 Adams Ave La Grande OR 97850-5267 |
| Practice Telephone | 5419633186 |
| Practice Fax Number | 5419633187 |
| Mailing Telephone | 5419633186 |
| Mailing Fax Number | 5419633187 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | MARGARET DAVIDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5419633186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | COMMUNITY CONNECTION OF NORTHEAST OREGON, INC. | 2802 Adams Ave, La Grande, OR 97850 |
| Street Address |
2802 ADAMS AVE |
| City | LA GRANDE |
| State | OR |
| Zip Code | 97850-5267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558859504 | Rochelle Diane Hamilton | Voluntary or Charitable | 2802 Adams Ave, La Grande, OR 97850-5267 | 2018-04-25 |
| 1447725924 | Kathy Deann Ganung | Health Educator | 2802 Adams Ave, La Grande, OR 97850-5267 | 2018-10-10 |
| 1396233284 | Lydia Berkshire | Community/Behavioral Health | 2802 Adams Ave, La Grande, OR 97850-5267 | 2018-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
| 1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
| 1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
| 1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
| 1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
| 1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
| 1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
| 1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
| 1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
| 1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
| Find all providers in zip 97850 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352381 | Zara Homecare LLC | In Home Supportive Care | 19025 Se Yamhill St Apt 202, Portland, OR 97233-5578 | 2020-09-24 |
| 1750994984 | Mercy Home Care Agency LLC | In Home Supportive Care | 2057 Se 122nd Ave, Portland, OR 97233-1305 | 2020-08-27 |
| 1194334045 | Hearts of Gold Care Inc | In Home Supportive Care | 700 E Port Marina Dr, Hood River, OR 97031-2382 | 2020-07-27 |
| 1407464852 | Home Health Heroes LLC | In Home Supportive Care | 1107 Nw 15th St Apt 214, Gresham, OR 97030-4899 | 2020-07-21 |
| 1750999819 | A Golden Hand Home Care Services | In Home Supportive Care | 858 Lancaster Dr Se, Salem, OR 97317-5831 | 2020-07-15 |
| 1619591476 | Venacarenw | In Home Supportive Care | 6464 Sw Borland Rd Ste C5, Tualatin, OR 97062-8856 | 2020-06-07 |
| 1235750357 | Misty Dawn Harrison | In Home Supportive Care | 3835 Viewcrest Dr Apt D, Medford, OR 97504-7220 | 2020-04-29 |
| 1902436959 | Touching Hearts At Home, Inc. | In Home Supportive Care | 122 Ferry St Sw, Albany, OR 97321-2214 | 2020-01-17 |
| 1487291753 | Penelope Lynn Whitmire | In Home Supportive Care | 2863 Granite Hill Rd, Grants Pass, OR 97526-7743 | 2019-12-05 |
| 1518503127 | Stiles LLC | In Home Supportive Care | 2731 Mia Ct Se, Salem, OR 97306-6301 | 2019-11-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY CONNECTION OF NORTHEAST OREGON, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.