Jordan Brooke Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JORDAN BROOKE ASSISTED LIVING LLC

Practice address

4508 Van Buren St
Hollywood, FL 33021-7242

Phone

(954) 322-4112

Fax

(954) 322-4199

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Loucasada Noel

Title

Adminsitator

Phone

(954) 322-4112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1194948307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217242",
            "telephone_number": "954-322-4112",
            "fax_number": "954-322-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 VAN BUREN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217242",
            "telephone_number": "954-322-4112",
            "fax_number": "954-322-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN BROOKE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "LOUCASADA",
        "authorized_official_title_or_position": "ADMINSITATOR",
        "authorized_official_telephone_number": "954-322-4112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Jones
• Kiana Alexis Jones
• Nicole Leslie Jones, AA
• Shawnet Kashia Jones, M.D.
• Sara Lynn Jonovich
• Ashley Jordan
• Tasia Stone Jordan, SLP-A
• Jorviana Medical Supplies & Pharmacy, Inc
• Jose David Morgan, MD
• Joseph a. Rodriguez, M.D., P.a.

• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.