Organization Active NPI

Courtney Family Enterprises Incorperated

Doing business as Visiting Angels

  • In Home Supportive Care Agency
  • Gresham, OR
National Provider Identifier
1376851352
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
15-2170 Issued in OR
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.