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CATHERINE JENSENS FOSTER HOME NPI 1609314509


NPI Information

NPI: 1609314509
Provider Name: CATHERINE JENSENS FOSTER HOME

Doing Business As: EDDY'S OLD FASHIONED HAMBURGERS

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
108 ASH DRIVE
ROGUE RIVER, OR
ZIP 97537
Phone: (541) 299-0370
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CATHERINE JENSENS FOSTER HOME is an adult care home custodial care facility in Rogue River, OR. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. CATHERINE JENSENS FOSTER HOME NPI is 1609314509. The provider is registered as an organization entity type.
The provider Is Doing Business As Eddy's Old Fashioned Hamburgers.

The provider's business location address is:

108 ASH DRIVE
ROGUE RIVER, OR
ZIP 97537
Phone: (541) 299-0370
Fax: (541) 582-8218

The provider's authorized official is Catherine Add Jensen .
The authorized official title is Owner and has the following contact phone number (541) 299-0370.

The enumeration date for this NPI number is 2/10/2017 and was last updated on 2/10/2017.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care Home580410OREGONYes

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: 5/5/2024

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