Jordan River Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JORDAN RIVER HOME HEALTH CARE, LLC

Practice address

501 Goodlette-Frank Rd N Ste D-25
Naples, FL 34102-5661

Phone

(239) 331-2626

Fax

(239) 302-5490

NPI assigned

Jan 4, 2021

Last updated

Jul 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Oscar Lopez Martinez, RN

Title

Owner/Administrator

Phone

(239) 331-2626

Specialties & licenses 1

Addresses

Other names 1

• Jordan River Home Health Care, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114515384. Details of each certification follow.

• CCN 687393 Home health agency · Active · Details

Home health agency certification: CCN 687393

Legal name

JORDAN RIVER HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 31, 2023

Last certification

May 5, 2023

Organization structure

LLCProprietary

Enrollment address

501 Goodlette Rd North
Ste D-25
Naples, FL 34102-5661

Listed as

Jordan River Home Health Care, LLCCCN 687393 · All quality measures

Ownership

-

Certified

May 31, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Lay Florian

  • Certified Registered Nurse Anesthetist
  • Naples, FL
  • NPI 1386092195

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lay Florian

  • Certified Registered Nurse Anesthetist
  • Naples, FL
  • NPI 1386092195
  NPD
• Oscar Lopez Maratinez, RN

  • Home Health Agency
  • Naples, FL
  • NPI 1265020432
  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1114515384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE-FRANK RD N STE D-25",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661",
            "telephone_number": "239-331-2626",
            "fax_number": "239-302-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE-FRANK RD N STE D-25",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661",
            "telephone_number": "239-331-2626",
            "fax_number": "239-302-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN RIVER HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ MARTINEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "239-331-2626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan River Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jordan River Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lesley Jones, PT
• Madeleine Jones, OT
• Martha Elaine Jones
• Paul O Jones Jr., MD
• Paula Jones
• Jacob Jordan, M.D.
• Minja Dojcilovic Jordan, MS, CCC-SLP
• Tiffany B Jordan, PA-C
• David Josam
• Jose M. Baez, MD, LLC

• Home Health Agency in Naples, FL
• Providers in Naples, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.