Organization Active NPI

Jordan'S Crossing Home Healthcare, LLC

  • Home Health Registered Nurse
  • Atlanta, GA
National Provider Identifier
1053805663
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN130943 Issued in GA
Legal business name
JORDAN'S CROSSING HOME HEALTHCARE, LLC
Practice address
3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418
Phone
(404) 479-0619
Fax
(404) 720-6726
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Sabrina Mechele Lee, RN
Title
Director of Nursing/Administrator
Phone
(404) 988-0265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X RN130943 GA Primary

Addresses

Primary practice location

3379 Peachtree Rd NE Ste 555
Atlanta, GA 30326-1418

Mailing address

173 Jans MDWS
Stockbridge, GA 30281-5855
Phone (404) 479-0619

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1053805663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 JANS MDWS",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815855",
            "telephone_number": "404-479-0619",
            "fax_number": "404-720-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261418",
            "telephone_number": "404-479-0619",
            "fax_number": "404-720-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN'S CROSSING HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "MECHELE",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/ADMINISTRATOR",
        "authorized_official_telephone_number": "404-988-0265",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN130943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.