NORTHRIDGE FOSTER HOMES, INC. (NPI# 1609486828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609486828 |
| Entity Type | Organization |
| Organization Name | NORTHRIDGE FOSTER HOMES, INC. |
| Practice Address |
2240 Terrel Dr Medford OR 97501-8140 |
| Practice Telephone | 5415355497 |
| Mailing Telephone | 5415355497 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | MR. LESLIE OWEN CONNELL (ACCESS MANAGER) |
| Authorized Official Telephone | 5415355497 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northridge Foster Homes | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | NORTHRIDGE FOSTER HOMES, INC. | 2240 Terrel Dr, Medford, OR 97501 |
| Street Address |
2240 TERREL DR |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-8140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487040390 | Immacula Elderly Care Services Inc | Clinic/Center | 55 Otis St, Medford, MA 02155-4017 | 2015-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282806 | Oregon St. Martin Charities Org | Clinic/Center | 5239 Se Woodstock Blvd, Portland, OR 97206-6822 | 2019-02-28 |
| 1659328367 | Willamette Community Health Solutions | Clinic/Center | 996 Jefferson St, Eugene, OR 97402-5225 | 2006-05-28 |
| 1073078671 | Grace Center for Adult Day Services | Clinic/Center | 980 Nw Spruce Ave, Corvallis, OR 97330-2112 | 2019-02-07 |
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| 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.