Organization Active NPI

DJR 24Hourrs Residential LLC

  • Medical-Surgical Registered Nurse
  • Happy Valley, OR
National Provider Identifier
1720940661
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
Legal business name
DJR 24HOURRS RESIDENTIAL LLC
Practice address
12109 SE High Creek Rd
12109 SE High Creek Rd
Happy Valley, OR 97086-4729
Phone
(336) 995-2670
NPI assigned
Dec 1, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Authorized official

Name
Mr. Ermias Mulugeta Tekle Sr., RN
Title
Executive Director
Phone
(336) 995-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X NU Primary

Addresses

Primary practice location

12109 SE High Creek Rd
12109 SE High Creek Rd
Happy Valley, OR 97086-4729

Mailing address

12109 SE High Creek Rd
Happy Valley, OR 97086-4729
Phone (336) 995-2670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764547200000",
    "number": "1720940661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 SE HIGH CREEK RD",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864729",
            "telephone_number": "336-995-2670",
            "fax_number": "336-995-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 SE HIGH CREEK RD",
            "address_2": "12109 SE HIGH CREEK RD",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970864729",
            "telephone_number": "336-995-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DJR 24HOURRS RESIDENTIAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-11-30",
        "status": "A",
        "authorized_official_last_name": "TEKLE",
        "authorized_official_first_name": "ERMIAS",
        "authorized_official_middle_name": "MULUGETA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-995-2670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.