Individual provider · Type 1 NPI
Thomas A. Black
Attendant Care Provider · Roseburg, OR
Practice location
405 Pony Ln
Roseburg, OR 97471-9775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Other attendant care provider providers in Roseburg
About NPI 1861364754
Thomas A. Black's National Provider Identifier is 1861364754, issued on Sep 19, 2025. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Roseburg, OR. The record was last updated on Sep 19, 2025.