Jadan, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JADAN, INC

Practice address

3100 Kilpatrick Blvd Ofc 101
Monroe, LA 71201-5156

Phone

(318) 557-5086

Fax

(318) 325-3245

NPI assigned

Dec 28, 2006

Last updated

Apr 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Adrian Williams, LCSWNPI 1063551125

Title

Administrator

Phone

(318) 614-1783

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Tax ID family

Jadan Inc2 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.

• Jadan Inc

  • In Home Supportive Care Agency
  • Monroe, LA
  • NPI 1346557733
  NPD tax ID

Locations

Practitioners 3

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.

• Adrian Williams, LCSW

  • Clinical Social Worker
  • West Monroe, LA
  • NPI 1063551125
  NPD Authorized official
• Stacy Miller

  • Personal Care Attendant
  • Monroe, LA
  • NPI 1912655853
  NPD (past)
• Daisy Tugler

  • Personal Care Attendant
  • Monroe, LA
  • NPI 1255088183
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1386700052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4422",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KILPATRICK BLVD OFC 101",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015156",
            "telephone_number": "318-557-5086",
            "fax_number": "318-325-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-614-1783",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "PCA 6622",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1315486",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2112325",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jadan_inc@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Kilpatrick Blvd Ofc 101",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712015156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Jackson
• Travion Jackson
• Wanda F. Jackson
• Whitney Jackson
• Jadan Inc
• James a. Altick ,Jr. M.D. a Professional Medical Corporation (James A. Altick ,Jr. M.D. PC)
• James M. Potts, M.D., Apmc
• James Rittelmeyer MD Cardiology
• Alexis Bowman James, CRNA
• Anthony James

• In Home Supportive Care Agency in Monroe, LA
• Providers in Monroe, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.