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PROFESSIONAL HOME CARE NPI 1518099167


NPI Information

NPI: 1518099167
Provider Name: PROFESSIONAL HOME CARE
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
3318 LAKESIDE DR
EUGENE, OR
ZIP 97401
Phone: (541) 342-8302
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PROFESSIONAL HOME CARE is a nursing care in Eugene, OR. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. PROFESSIONAL HOME CARE NPI is 1518099167. The provider is registered as an organization entity type.

The provider's business location address is:

3318 LAKESIDE DR
EUGENE, OR
ZIP 97401-592
Phone: (541) 342-8302
Fax: (541) 342-3876

The provider's authorized official is Alola Campbell .
The authorized official title is Owner and has the following contact phone number (541) 342-8302.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care15-2069OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1702946MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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