Organization Active NPI

Jordan and Assoc Home Health

  • Home Health Agency
  • Harvey, IL
National Provider Identifier
1104889252
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010155 Issued in IL
Legal business name
JORDAN AND ASSOC HOME HEALTH
Practice address
14618 Lincoln Ave
Harvey, IL 60426-1610
Phone
(708) 331-8474
Fax
(708) 331-8648
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Jerry Dean Jones, R.N.
Title
Administrator
Phone
(708) 331-8474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010155 IL Primary

Addresses

Primary practice location

14618 Lincoln Ave
Harvey, IL 60426-1610

Mailing address

14618 Lincoln Ave
Harvey, IL 60426-1610
Phone (708) 331-8474

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1104889252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-331-8474",
            "fax_number": "708-331-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-331-8474",
            "fax_number": "708-331-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN AND ASSOC HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-331-8474",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.