Jaeda Jordan LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JAEDA JORDAN LLC

Practice address

4549 Carnation CT
Charlotte, NC 28269-3578

Phone

(704) 615-2153

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Jaeda Jordan

Title

Owner

Phone

(704) 615-2153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703894400000",
    "number": "1396529632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 CARNATION CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693578",
            "telephone_number": "704-615-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 CARNATION CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693578",
            "telephone_number": "704-615-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEDA JORDAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JAEDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-615-2153"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Jacox, LCSW-P
• Heather Jacques
• Jade Integrative Counseling and Wellness, PLLC
• Jaded Joy Enterprises LLC
• Kerrith Lyn Jaeckel, M.D.
• Jaesan PC
• Saeid Jafar-Pour, DDS
• Jaffe Chiropractic Clinic Inc PA
• Seth L Jaffe, DO
• Stephen Glenn Jaffe, D.C.

• Non-emergency Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2023; 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.