NPIMap

Organization Active NPI

Jordico LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Saint Cloud, FL
National Provider Identifier
1730574906
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
L15000044009 Issued in FL
Legal business name
JORDICO LLC
Practice address
4417 13TH Street
Suite 142
Saint Cloud, FL 34769
Phone
(321) 250-2496
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Authorized official

Name
Kayon Jones
Title
Operations Manager
Phone
(321) 250-2496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X L15000044009 FL Primary

Addresses

Primary practice location

4417 13TH Street
Suite 142
Saint Cloud, FL 34769

Mailing address

4417 13TH St
Suite 142
Saint Cloud, FL 34769-6724
Phone (321) 250-2496

National Provider Directory

National Provider Directory

Locations

4417 13th St
Saint Cloud, FL 34769
Phone (321) 250-2496

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1730574906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 13TH ST",
            "address_2": "SUITE 142",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347696724",
            "telephone_number": "321-250-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 13TH STREET",
            "address_2": "SUITE 142",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "321-250-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAYON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "321-250-2496"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "L15000044009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.