Organization Active NPI

J & L Adult Care

  • Home Health Agency
  • Keizer, OR
National Provider Identifier
1376797365
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
000000 Issued in OR
Legal business name
J & L ADULT CARE
Practice address
5034 Bailey Rd NE
Keizer, OR 97303-3706
Phone
(503) 390-4462
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Mrs. Lisa. Ann Clubb
Title
Administrator
Phone
(503) 390-4462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 000000 OR Primary

Addresses

Primary practice location

5034 Bailey Rd NE
Keizer, OR 97303-3706

Mailing address

5034 Bailey Rd NE
Keizer, OR 97303-3706
Phone (503) 390-4462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1376797365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 BAILEY RD NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033706",
            "telephone_number": "503-390-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 BAILEY RD NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973033706",
            "telephone_number": "503-390-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & L ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "CLUBB",
        "authorized_official_first_name": "LISA.",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-390-4462",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OR",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.