Active NPI
Courtney Family Enterprises Incorperated
Doing business as Visiting Angels
- In Home Supportive Care Agency
- Gresham, OR
National Provider Identifier
1376851352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 15-2170
- Legal business name
- COURTNEY FAMILY ENTERPRISES INCORPERATED
- Doing business as
- Visiting Angels
- Practice address
- 202 NE Kelly Ave
Gresham, OR 97030-7544 - Phone
- (503) 661-0600
- Fax
- (503) 661-0677
- NPI assigned
- Sep 23, 2010
- Last updated
- Sep 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Monica E. Courtney, OWNER
- Title
- Director
- Phone
- (503) 544-5837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 15-2170 | OR | Primary |
Addresses
Primary practice location
202 NE Kelly Ave
Gresham, OR 97030-7544
Mailing address
202 NE Kelly Ave
Gresham, OR 97030-7544
Phone (503) 661-0600
Other names 1
- Visiting Angels
National Provider Directory
National Provider DirectoryLocations
202 NE Kelly Ave
Gresham, OR 97030
Phone (503) 661-0600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1376851352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 NE KELLY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307544",
"telephone_number": "503-661-0600",
"fax_number": "503-661-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 NE KELLY AVE",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307544",
"telephone_number": "503-661-0600",
"fax_number": "503-661-0677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COURTNEY FAMILY ENTERPRISES INCORPERATED",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "COURTNEY",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "503-544-5837",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OR",
"license": "15-2170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visiting Angels",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.