Organization Active NPI

JGL Enterprises, Inc.

Doing business as Regency Home Care

  • In Home Supportive Care Agency
  • Portland, OR
National Provider Identifier
1619383536
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
152232 Issued in OR
Legal business name
JGL ENTERPRISES, INC.
Doing business as
Regency Home Care
Practice address
15115 SW Sequoia Pkwy Ste 170
Portland, OR 97224-7156
Phone
(503) 616-0460
NPI assigned
Jul 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Mr. James R Myers, CEBS
Title
President
Phone
(503) 616-0460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 152232 OR Primary

Addresses

Primary practice location

15115 SW Sequoia Pkwy Ste 170
Portland, OR 97224-7156

Mailing address

19965 SW 58TH Ter
Tualatin, OR 97062-6844
Phone (503) 616-0460

Other identifiers 1

IdentifierTypeStateIssuer
137165MedicaidOR

Other names 1

  • Regency Home Care 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": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1619383536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19965 SW 58TH TER",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626844",
            "telephone_number": "503-616-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 SW SEQUOIA PKWY STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247156",
            "telephone_number": "503-616-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGL ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-616-0460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEBS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OR",
            "license": "152232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137165",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; 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.