Jordan HGH LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

JORDAN HGH LLC

Practice address

5106 Olde Forest Dr
Greensboro, NC 27406-8718

Phone

(919) 914-1287

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By 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

Melissa Roberta Jordan, LPNNPI 1548870215

Title

Ceo

Phone

(919) 914-1287

Specialties & licenses 3

Addresses

Other names 1

• Jordan HGH Former legal business name

Tax ID family

Jordan HGH2 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 HGH LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1396519955
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa Jordan, LPN

  • Licensed Practical Nurse
  • Greensboro, NC
  • NPI 1548870215
  NPD Authorized official

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1962275511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087076",
            "telephone_number": "888-475-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 OLDE FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068718",
            "telephone_number": "919-914-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN HGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ROBERTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-914-1287",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan HGH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wynonna Jones
• Zakiyyah Jones, LPA
• Janardhana Rao Jonnalagadda, M.D.
• Jordan Healthcare and Services
• Jordan HGH LLC
• Alicia Nicole Jordan, PHARMD
• Amy Young Jordan, M.D.
• Fatima Jordan, LPC, CRC, LCASA
• Jesse James Ray Jordan, PA-C
• Kaylin Jordan

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.