ROGUE VALLEY IN HOME CARE INC. (NPI# 1629403894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629403894 |
| Entity Type | Organization |
| Organization Name | ROGUE VALLEY IN HOME CARE INC. |
| Practice Address |
331 Crater Lake Ave Medford OR 97504-6805 |
| Practice Telephone | 5412450963 |
| Practice Fax Number | 5417720656 |
| Mailing Telephone | 5412450963 |
| Mailing Fax Number | 5417720656 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2020-03-06 |
| Authorized Official Name | MRS. AMBER M PERRINO (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 5412450963 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 253Z00000X | In Home Supportive Care | 15.2148 | OR | Agencies |
| Y | 251E00000X | Home Health | 15-2148 | OR | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500662775 | 05 | |
| OR | 524575 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ROGUE VALLEY IN HOME CARE INC | 331 Crater Lake Ave, Medford, OR 97504 |
| Street Address |
331 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156929 | Amy Marie Mathis | Home Health | 1787 Easy St, Medford, OR 97504-5325 | 2020-05-28 |
| 1871112060 | The Physical Therapy Company LLC | Home Health | 2 Hanley Parke, Medford, NJ 08055-3364 | 2020-04-08 |
| 1184117608 | Lhens Healthcare Company | Home Health | 63 Otis St, Medford, MA 02155-4017 | 2018-06-09 |
| 1891293478 | Cbhh, Inc | Home Health | 407r Mystic Ave, Medford, MA 02155-6380 | 2018-01-29 |
| 1871024299 | Beyond Love N Care LLC | Home Health | 124 4th St, Medford, MA 02155-5018 | 2017-03-27 |
| 1912364993 | Global Home Care Services LLC | Home Health | 5 High St Ste 205, Medford, MA 02155-3800 | 2016-01-21 |
| 1093194854 | Mc Healthcare & Training Center LLC | Home Health | 80 Orchard St Apt 1, Medford, MA 02155-4339 | 2015-05-27 |
| 1265828891 | A Perfect Family Circle, LLC | Home Health | 212 Old Marlton Pike, Medford, NJ 08055-8768 | 2015-04-10 |
| 1306277306 | Sade S Riley | Home Health | 111 Villas Dr, Medford, NY 11763-2136 | 2013-12-02 |
| 1932449709 | Araine Cadine Hawthorne | Home Health | 91 Seymour Lane, Medford, NY 11763-0149 | 2013-02-15 |
| Find all providers in MEDFORD | ||||
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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.