Provider Demographics
NPI:1932205762
Name:RCR STAR OREGON, INC
Entity Type:Organization
Organization Name:RCR STAR OREGON, INC
Other - Org Name:INTERIM HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-722-1530
Mailing Address - Street 1:2608 VICTOR AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-1447
Mailing Address - Country:US
Mailing Address - Phone:530-722-1530
Mailing Address - Fax:530-226-8293
Practice Address - Street 1:2368 CRATER LAKE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-5003
Practice Address - Country:US
Practice Address - Phone:541-779-0054
Practice Address - Fax:541-779-0880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR152137251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health