Nina Jordan

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

1515 N Warson Rd Ste 132E
Saint Louis, MO 63132-1100

Phone

(314) 574-4203

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Archway Residential Care LLC

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1306522206
  NPD Authorized official

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1619636040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 132E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321100",
            "telephone_number": "314-574-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 132E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321100",
            "telephone_number": "314-574-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antionette Jordan
• Antionette Jordan
• James Matthew Jordan, OCCUPATIONAL THERAPI
• Jody M Jordan
• Katelyn L Jordan
• Samuel Douglas Jordan, MD
• Sarette S Jordan
• Gina Jorel, RD, LD
• Maren Jorgensen, OT
• Bonnie Jorgenson

• Home Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.