Judah Global Enterprises Incorporated

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

2008N0774 Issued in IL

Legal business name

JUDAH GLOBAL ENTERPRISES INCORPORATED

Doing business as

Professional Care Health Services

Practice address

16340 Lower Harbor Rd
#213
Brookings, OR 97415-8303

Phone

(877) 648-5437

Fax

(866) 267-3872

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Edmona Flora Longstreet, RN

Title

Owner

Phone

(877) 648-5437

Specialties & licenses 1

Addresses

Other names 1

• Professional Care Health Services Doing business as

Locations

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1619130457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16340 LOWER HARBOR RD",
            "address_2": "#213",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158303",
            "telephone_number": "877-648-5437",
            "fax_number": "866-267-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16340 LOWER HARBOR RD",
            "address_2": "#213",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974158303",
            "telephone_number": "877-648-5437",
            "fax_number": "866-267-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDAH GLOBAL ENTERPRISES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "LONGSTREET",
        "authorized_official_first_name": "EDMONA",
        "authorized_official_middle_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "18776485437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "2008N0774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Care Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Johnson, DMD
• Steven Folke Johnson, M.D.
• Charles E Jones Jr., D.D.S.
• Kayci Michele Jones
• Christopher Joos
• Rachel Lian Justice
• Tracey S Kather, NP
• Johnathan Kennedy
• Robert Kirk
• Stacy Rae Kreger, AGNP

• Nursing Care Agency in Brookings, OR
• Providers in Brookings, OR by specialty
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.