JD Jordan Enterprises, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299992136 Issued in FL

Legal business name

JD JORDAN ENTERPRISES, INC.

Doing business as

LifeSpring Home Care of Tampa

Practice address

14035 N Dale Mabry Hwy Unit 18
Tampa, FL 33618-2401

Phone

(813) 930-8900

NPI assigned

Jul 1, 2006

Last updated

Apr 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Denise Jordan

Title

Owner

Phone

(813) 930-8900

Specialties & licenses 1

Addresses

Other names 1

• LifeSpring Home Care of Tampa Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881623056. Details of each certification follow.

• CCN 108219 Home health agency · Active · Details

Home health agency certification: CCN 108219

Legal name

JD JORDAN ENTERPRISES INC

Doing business as

LIFESPRING HOME CARE OF TAMPA

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 19, 2005

Last certification

Jun 17, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 19, 2014 in FL

Enrollment address

14035 N Dale Mabry Hwy
Tampa, FL 33618-2401

Listed as

Lifespring Home Care of TampaCCN 108219 · All quality measures

Ownership

Proprietary

Certified

Oct 19, 2005

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sergio Collazo, MD

  • General Practice Physician
  • Tampa, FL
  • NPI 1619531027

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1881623056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14035 N DALE MABRY HWY",
            "address_2": "UNIT N-18",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182401",
            "telephone_number": "813-930-8900",
            "fax_number": "813-930-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14035 N DALE MABRY HWY UNIT 18",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182401",
            "telephone_number": "813-930-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD JORDAN ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-930-8900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299992136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeSpring Home Care of Tampa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.