Organization Active NPI

Jordan Home Care Inc

  • Personal Care Attendant
  • Cocoa, FL
National Provider Identifier
1932893237
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
JORDAN HOME CARE INC
Practice address
2446 Dianne Dr
Cocoa, FL 32926-5304
Phone
(321) 480-5371
Fax
(321) 208-8311
NPI assigned
Jun 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Naquita JordanNPI 1154911824
Title
President
Phone
(132) 305-7517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2446 Dianne Dr
Cocoa, FL 32926-5304

Mailing address

2446 Dianne Dr
Cocoa, FL 32926-5304
Phone (321) 305-7517

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1932893237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 DIANNE DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265304",
            "telephone_number": "321-305-7517",
            "fax_number": "321-208-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 DIANNE DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265304",
            "telephone_number": "321-480-5371",
            "fax_number": "321-208-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NAQUITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "132-305-7517"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.