NPIMap

Organization Active NPI

Anthony L. Jordan Health Corporation

Doing business as Jordan Health Link

  • Federally Qualified Health Center (FQHC)
  • Rochester, NY
National Provider Identifier
1346541414
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
2701211R Issued in NY
Legal business name
ANTHONY L. JORDAN HEALTH CORPORATION
Doing business as
Jordan Health Link
Practice address
273 Upper Falls Blvd
Rochester, NY 14605-2103
Phone
(585) 784-5900
NPI assigned
Nov 5, 2010
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTHONY L. JORDAN HEALTH CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Janice Harbin, DDSNPI 1467533968
Title
President/Ceo
Phone
(585) 423-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 2701211R NY Primary

Addresses

Primary practice location

273 Upper Falls Blvd
Rochester, NY 14605-2103

Mailing address

82 Holland St
Rochester, NY 14605-2131
Phone (585) 423-5800

Other identifiers 5

IdentifierTypeStateIssuer
16467AOtherNYMEDICARE PART B
00384969MedicaidNY
6613OtherNYBLUE CROSS OF ROCHESTER
331838OtherNYMEDICARE PART A
G0187295590OtherNYBLUE CHOICE OF ROCHESTER

Other names 1

  • JORDAN HEALTH LINK Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040519001335 NY Part B Supplier - Clinic/Group Practice 8729079785 Receives reassigned benefits from 49 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rochester, NY; Canandaigua, NY
O20101221000907 NY Part A Provider - Federally Qualified Health Center (FQHC) 8729079785 Practice locations: Rochester, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346541414. Details of each certification follow.

Federally qualified health center certification: CCN 331027

Legal name
ANTHONY L. JORDAN HEALTH CORPORATION
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 20, 2011
Last certification
Sep 20, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 26, 1973 in NY
Enrollment address
273 Upper Falls Blvd
Rochester, NY 14605-2103

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Anthony L Jordan HLTH C7 organizations share this tax ID, including this one
Part of
Anthony L Jordan HLTH C

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 26

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Hinton Individual W-2 Managing Employee Nov 3, 2025
Ernest Kanyoke Individual W-2 Managing Employee Apr 7, 2025
Spencer Ash Individual Corporate Director Nov 1, 2024
Natasha Jackson Individual Corporate Director Apr 1, 2024
Bradley M Turner Individual Corporate Director Oct 1, 2016
Latoya Scott Individual W-2 Managing Employee Aug 20, 2012
Mary Ellen Felten Individual W-2 Managing Employee Apr 22, 2024
Julio Saenz Individual Corporate Director Dec 1, 2024
Frederick Johnson Individual Corporate Director Dec 1, 2024
Shappelle Thompson Individual Corporate Director Nov 18, 2010
Chantz Miles Individual Corporate Director Dec 1, 2024
Linda Levita Clark Individual Corporate Officer Jul 27, 2022
Roosevelt Dixon Individual Corporate Director Nov 1, 2023
Tamika Ward Individual W-2 Managing Employee Nov 18, 2024
Julio Jordan Individual Corporate Director May 1, 2024
Lashana Boose Individual Corporate Director Feb 1, 2021
Sammy Ndive Individual Corporate Director Nov 1, 2010
Juanita Washington Individual W-2 Managing Employee Jan 4, 2021
Maria a. Kennah Individual W-2 Managing Employee Jan 4, 1973
Walida Monroe-Sims Individual Corporate Director Nov 1, 2023
Candice Baldwin Individual Corporate Director Jul 1, 2024
Faith Debra Adams Individual W-2 Managing Employee May 6, 1996
Vicki-Mae Roberts Individual W-2 Managing Employee Nov 17, 2025
Anthony L. Jordan Health Corporation Organization, Rochester, NY Non-profit Operational/Managerial Control Nov 1, 2010
Penny Crudup Individual W-2 Managing Employee May 5, 2025
Robens Maxi Individual W-2 Managing Employee Aug 11, 2025

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodward CenterRochester, NY, CCN 331044 Federally qualified health center Operational/Managerial Control Aug 27, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1346541414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 HOLLAND ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052131",
            "telephone_number": "585-423-5800",
            "fax_number": "585-423-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 UPPER FALLS BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146052103",
            "telephone_number": "585-784-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY L. JORDAN HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTHONY L. JORDAN HEALTH CORP",
        "enumeration_date": "2010-11-05",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "HARBIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "585-423-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NY",
            "license": "2701211R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "16467A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00384969",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ROCHESTER",
            "identifier": "6613",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "331838",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OF ROCHESTER",
            "identifier": "G0187295590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JORDAN HEALTH LINK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.