Jordan Homecare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

JORDAN HOMECARE SERVICES LLC

Practice address

2 Burlington Woods Dr Ste 100 Room 24
Burlington, MA 01803-4551

Phone

(617) 821-4923

Fax

(617) 675-7002

NPI assigned

Apr 25, 2022

Organization subpart

No

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

Authorized official

Name

Grace R Wilson, REGISTERED NURSENPI 1346869062

Title

Manager

Phone

(617) 821-4923

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Jordan Homecare Services2 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.

• Jordan Homecare Services

  • Home Health Registered Nurse
  • Lynn, MA
  • NPI 1194460360
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace R Wilson, RN

  • Registered Nurse
  • Lynn, MA
  • NPI 1346869062

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1629712633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR STE 100",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034551",
            "telephone_number": "617-821-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BURLINGTON WOODS DR STE 100 ROOM 24",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034551",
            "telephone_number": "617-821-4923",
            "fax_number": "617-675-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-821-4923",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Jones, MD
• Nathan Thomas Jones, MD
• Rebecca Blake Jones, OTRL
• Seth P. Jones, MD
• Sashikanth Jonnalagadda, M.D.
• Kara Margaret Joseph
• Lee Joseph, M.D.
• Avina Joshi
• Joshua J Lee DMD LLC
• Joy Grace Home Care Services LLC

• Home Health Agency in Burlington, MA
• Providers in Burlington, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.