Jordan Management Group, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

JORDAN MANAGEMENT GROUP, LLC

Practice address

905 Halstead Blvd
Ste 5
Elizabeth City, NC 27909-6986

Phone

(252) 334-1560

Fax

(252) 334-1563

NPI assigned

Sep 3, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Sandra S. Jordan, M.ED.NPI 1558679936

Title

Sole Member/Chief Executive Officer

Phone

(252) 334-1560

Specialties & licenses 7

Addresses

Practitioners 1

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

• Sandra S Jordan, M.ED.

  • Early Intervention Provider Agency
  • Elizabeth City, NC
  • NPI 1558679936

  Case Management

  NPD (past) Authorized official

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1285069757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2213",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062213",
            "telephone_number": "252-334-1560",
            "fax_number": "252-334-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "address_2": "STE 5",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-334-1560",
            "fax_number": "252-334-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN MANAGEMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SOLE MEMBER/CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-334-1560",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford B Jones III, D.D.S.
• Danielle Jones
• Heather Jones, RBT
• Jason Bradford Jones, D.C.
• Samuel Jones
• Mitzi Bunch Jordan, LCSWA
• Sandra S Jordan, M.ED.
• Audrey Maurise Joy, PT
• Roscoe Waylon Joyner III, LPT
• Michael Louis Juliano, MD

• Case Management Agency in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; 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.