Jordan House Fondation

Primary specialty

TaxiTaxonomy code 344600000X

Legal business name

JORDAN HOUSE FONDATION

Practice address

3139 Metthame Dr
Fayetteville, NC 28306-7518

Phone

(716) 449-8090

NPI assigned

Sep 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Bobby Williams

Title

Administrator

Phone

(716) 449-8090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569283200000",
    "number": "1669023354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3139 METTHAME DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3139 METTHAME DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283067518",
            "telephone_number": "716-449-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOUSE FONDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "716-449-8090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Pilar Jones, M.D.
• William Jones, LCMHCA
• Ruth Joni, FNP-C
• Angela Joplin, LMBT
• Jordan & Jordan Healthcare and Management Solutions NC PLLC
• Jeanette Middle Jordan-Huffam Office, LCMHC
• Amy Elizabeth Jordan, R.N., B.S.N.
• Jannetta Delois Jordan, PH.D.
• Kelsey Jordan
• Rashadah Jordan

• Taxi in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Taxi in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.