Organization Active NPI

JG&M Corporation

Doing business as Nurturing Adult Family Home

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1396179222
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
752028 Issued in WA
Legal business name
JG&M CORPORATION
Doing business as
Nurturing Adult Family Home
Practice address
9600 NE 113TH Ave
Vancouver, WA 98662-2258
Phone
(360) 771-3712
NPI assigned
Aug 28, 2013
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Michelle U Sloan, RN
Title
President/Entity Representative
Phone
(360) 771-3712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 752028 WA Primary

Addresses

Primary practice location

9600 NE 113TH Ave
Vancouver, WA 98662-2258

Mailing address

PO Box 1008
Brush Prairie, WA 98606-1008
Phone (360) 771-3712

Other identifiers 2

IdentifierTypeStateIssuer
979987MedicaidWA
945155MedicaidWA

Other names 1

  • Nurturing Adult Family Home Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1396179222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986061008",
            "telephone_number": "360-771-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 NE 113TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986622258",
            "telephone_number": "360-771-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JG&M CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT/ENTITY REPRESENTATIVE",
        "authorized_official_telephone_number": "360-771-3712",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979987",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945155",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurturing Adult Family Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.