Darrian Deangelis Jordan

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1705 Pinehurst LN
Waterloo, IA 50701-4530

Phone

(319) 429-3179

NPI assigned

Feb 16, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brick by Brick Enterprise LLC

  • Transportation Network Company
  • Waterloo, IA
  • NPI 1164281226
  NPD Authorized official

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1205691433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PINEHURST LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014530",
            "telephone_number": "319-429-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 PINEHURST LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014530",
            "telephone_number": "319-429-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DARRIAN",
        "middle_name": "DEANGELIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Johnston, DC
• Andrew L Jolley, D.C.
• Darcy Evelyn Jolley, LMSW
• Clarissa Rosalee Jolly, TCADC
• Emalie Diane Jones
• Connie Joylani, MD
• Kevin Eliot Juro, MD
• Merisa Jusic, MD
• Kristy Justice, RD, LD
• Jva Mobility Inc

• In Home Supportive Care Agency in Waterloo, IA
• Providers in Waterloo, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.