Dwayne Jordan

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

258361 Issued in PA

Legal business name

DWAYNE JORDAN

Doing business as

Abraham Home Care

Practice address

6611 Wilkins Ave
Pittsburgh, PA 15217-1316

Phone

(412) 294-2555

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Dwayne Jordan

Title

Director

Phone

(412) 294-2555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abraham Home Care Doing business as

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1487062204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 WILKINS AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15217",
            "telephone_number": "412-294-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 WILKINS AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152171316",
            "telephone_number": "412-294-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "412-294-2555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "258361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2583601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abraham Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Dvorchak, COTA/L
• Jenna Dvorsky, MD
• Alena Dvoryanchikova, CRNP
• Megana Dwarakanath, MD
• Karthik Dwarki, MD
• Dwayne Jordan
• DWD Management LLC
• Matthew Dwumah-Agyen, MD
• Brittany Nichole Dwyer
• Jessica Burney Dwyer, M.D.

• Home Health Agency in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.