Jordan Homecare Services

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

JORDAN HOMECARE SERVICES

Practice address

1 Herbert St Unit B
Lynn, MA 01902-3808

Phone

(617) 821-4923

NPI assigned

May 2, 2022

Organization subpart

No

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

Authorized official

Name

Grace R Wilson, REGISTERED NURSENPI 1346869062

Title

Manager

Phone

(617) 821-4923

Specialties & licenses 1

Addresses

Tax ID family

Jordan Homecare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jordan Homecare Services LLC

  • Home Health Agency
  • Burlington, MA
  • NPI 1629712633
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace R Wilson, RN

  • Registered Nurse
  • Lynn, MA
  • NPI 1346869062

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1194460360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034551",
            "telephone_number": "617-821-4923",
            "fax_number": "617-675-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HERBERT ST UNIT B",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019023808",
            "telephone_number": "617-821-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-821-4923",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Johnson
• Christina Marie Joly, B.S.
• Catherine Thomas Jones, PSY.D.
• Donna Jones
• Melinda D Jones, NP
• Diane Julie Jordan, B.A.ED
• Rechele Jordow, PMHNP-BC
• Joseph J. Dowling, D.C. Inc
• Joseph M de Michele MD Facs Inc
• Yvesland Joseph-Randall

• Home Health Registered Nurse in Lynn, MA
• Providers in Lynn, MA by specialty
• Home Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.