CATHERINE JENSENS FOSTER HOME (NPI# 1609314509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609314509 |
| Entity Type | Organization |
| Organization Name | CATHERINE JENSENS FOSTER HOME |
| Other Organization Name | EDDY'S OLD FASHIONED HAMBURGERS |
| Practice Address |
108 Ash Drive Rogue River OR 97537 |
| Practice Telephone | 5412990370 |
| Practice Fax Number | 5415828218 |
| Mailing Telephone | 5412990370 |
| Mailing Fax Number | 5415828218 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | MRS. CATHERINE ADD JENSEN (OWNER) |
| Authorized Official Telephone | 5412990370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
580410 | OR | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Eddy's Old Fashioned Hamburgers | Doing Business As Name - Organization |
| Street Address |
108 ASH DRIVE |
| City | ROGUE RIVER |
| State | OR |
| Zip Code | 97537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780081604 | Anna M Christie | Nurse Practitioner | 459 Forest Hills Dr, Rogue River, OR 97537 | 2014-11-20 |
| 1013063619 | Wsg Corp | Pharmacy | 506 E Main Street, Rogue River, OR 97537 | 2007-01-26 |
| 1992880306 | Rogue Drug Co. | Pharmacy | 506 E. Main St., Rogue River, OR 97537 | 2006-10-25 |
| 1417906207 | Edward J Marchi | Dentist | 511 E Main St, Rogue River, OR 97537 | 2006-05-09 |
| 1649512963 | Garvin J Hamilton | Pharmacist | 506 E Main Street, Rogue River, OR 97537 | 2013-03-25 |
| 1972801397 | Jonathan Brad Egbert | Chiropractor | 509 E Main St, Rogue River, OR 97537 | 2011-03-09 |
| 1417111204 | Tlc Chiropractic LLC | Chiropractor | 230 E Main St, Rogue River, OR 97537 | 2008-07-11 |
| 1871696971 | Terrence L Clement II | Chiropractor | 230 E Main St, Rogue River, OR 97537-1257 | 2006-09-06 |
| 1902051782 | Marty Lynn Artoff | Massage Therapist | 2909 Wards Creek Rd, Rogue River, OR 97537-4502 | 2008-11-20 |
| 1427080753 | Warren R Norberg | Physical Therapist | 2430 Wards Creek Rd, Rogue River, OR 97537-4520 | 2006-07-07 |
| Find all providers in zip 97537 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403910 | Baseti Gelgelu | Custodial Care Facility | 2055 Sw 79th Ave, Portland, OR 97225-3805 | 2020-09-23 |
| 1801402946 | Demeti Gelgelu | Custodial Care Facility | 2010 Sw 79th Ave, Portland, OR 97225-3806 | 2020-09-22 |
| 1447808100 | Remelita Loftin | Custodial Care Facility | 2297 Minnesota St, Eugene, OR 97402-6244 | 2019-08-27 |
| 1316506397 | Stephenie Jo Murdock | Custodial Care Facility | 2355 Baker St, Baker City, OR 97814-2541 | 2019-06-12 |
| 1346707296 | Dastu I Ahmat | Custodial Care Facility | 55 Nw 23rd St, Gresham, OR 97030-2640 | 2019-02-27 |
| 1558837781 | Larisa Kravchuk | Custodial Care Facility | 805 Fir Cone Dr Ne, Keizer, OR 97303-4328 | 2018-10-15 |
| 1386122687 | Diana Elizabeth Gwinn | Custodial Care Facility | 16405 Ne Fargo Cir, Portland, OR 97230-5513 | 2018-07-30 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1598292997 | Gateway Assisted Living, Inc. | Custodial Care Facility | 611 N Cloverleaf Loop, Springfield, OR 97477-1188 | 2017-05-16 |
| 1841727617 | Gateway Gardens Assisted Living, Inc. | Custodial Care Facility | 178 Commons Dr, Eugene, OR 97401-8923 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | ROGUE RIVER |
| Zip Code | 97537 |
Please comment or provide details below to improve the information on CATHERINE JENSENS FOSTER HOME.
| 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.