Jil Medical Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

00993 Issued in NC

Legal business name

JIL MEDICAL INC.

Practice address

11120 Monroe Rd Ste E
Matthews, NC 28105-1324

Phone

(704) 841-4021

NPI assigned

Nov 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecilia Agor

Title

Owner

Phone

(704) 854-9257

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1245318211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 MONROE RD STE E",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051324",
            "telephone_number": "704-841-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 MONROE RD STE E",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281051324",
            "telephone_number": "704-841-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIL MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "AGOR",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-854-9257"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704273",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Biddle Jenkins, IBCLC
• Garnett Brown Jenkins
• Todd Ralph Jenkins
• Susan Heather Jerby, AGNP-C
• Deborah Hugh Jhuremalani, PA
• Alonzia Jinwright
• JNR Rising Hope Counseling & Consulting, PLLC
• Matthew Jobe, RPH
• Aaliyah Johnson, RBT
• Anna Blair Johnson, MD

• Customized Equipment (DME) in Matthews, NC
• Providers in Matthews, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.