Jordan'S Nursing Home Inc
Organization Active NPI Nursing Facility/Intermediate Care Facility · Bridgman, MI
NPI 1013921014 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1013921014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 114170 (MI)
- Legal business name
- JORDAN'S NURSING HOME INC
- Practice address
- 9935 Red Arrow Hwy
Bridgman, MI 49106-0607 - Phone
- (269) 465-3017
- Fax
- (269) 465-0327
- NPI assigned
- Jul 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Randy Jordan
- Title
- Administrator
- Phone
- (269) 465-3017
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 114170 | MI | Yes |
Addresses
Primary practice location
9935 Red Arrow Hwy
Bridgman, MI 49106-0607
Mailing address
9935 Red Arrow Hwy
Bridgman, MI 49106-0607
Phone (269) 465-3017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2151327 | Medicaid | MI |
Other providers in Bridgman, MI
- Mary E Good
- Daniel L Hayward
- Cynthia Kay Hildebrandt
- Jorge Arturo Huaringa
- John H. Foti, P.C.
- Sarah Kanger
- Kenneth J. Kieft DDS PC
- Kenneth John Kieft
- Latreasa Klann
- Pam J Klint
All providers in Bridgman, MI · Nursing Facility/Intermediate Care Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.