Gordon Jordan LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GORDON JORDAN LLC

Practice address

600 E Whaley St
Longview, TX 75601-6525

Phone

(903) 230-7682

Fax

(903) 230-7696

NPI assigned

Sep 12, 2019

Last updated

Jun 1, 2021By 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

Cynthia A Calloway, RN

Title

Director of Operations

Phone

(903) 230-7696

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1134779119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-230-7682",
            "fax_number": "903-230-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-230-7682",
            "fax_number": "903-230-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON JORDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "903-230-7696",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Longview",
            "affiliation": "N",
            "address_1": "600 E Whaley St",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756016525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberley Goodloe-Robinson
• Hollye Goodson
• Brandt Goodwin, CRNA
• Joanna Goodwin, LPC
• Henry Gor, MD
• Destiny Deon Gordy, LPC
• Tony Eugene Goss, LPC-A
• Jason Robert Gough, MS PT CBIS
• Sarah E Gough, NP
• Hailey Goza

• Community Based Hospice Care Agency in Longview, TX
• Providers in Longview, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.