JORDAN'S NURSING HOME INC (NPI# 1013921014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013921014 |
| Entity Type | Organization |
| Organization Name | JORDAN'S NURSING HOME INC |
| Practice Address |
9935 Red Arrow Hwy Bridgman MI 49106-0607 |
| Practice Telephone | 2694653017 |
| Practice Fax Number | 2694650327 |
| Mailing Telephone | 2694653017 |
| Mailing Fax Number | 2694650327 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MR. RANDY JORDAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2694653017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 114170 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2151327 | 05 |
| Street Address |
9935 RED ARROW HWY |
| City | BRIDGMAN |
| State | MI |
| Zip Code | 49106-0607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902383037 | Linda Kuball | Occupational Therapist | 9935 Red Arrow Hwy, Bridgman, MI 49106-9002 | 2018-07-21 |
| 1093202145 | Lisa Folsom | Physical Therapist | 9935 Red Arrow Hwy, Bridgman, MI 49106-9002 | 2018-04-15 |
| 1669895835 | Bridgman Care Operating, LLC | Skilled Nursing Facility | 9935 Red Arrow Hwy, Bridgman, MI 49106-9002 | 2014-01-24 |
| 1962658849 | Alison L Rogowski | Physical Therapy Assistant | 9935 Red Arrow Hwy, Bridgman, MI 49106-9002 | 2008-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992191993 | Jenil Gandhi | Internal Medicine | 9999 Red Arrow Hwy, Bridgman, MI 49106 | 2015-04-07 |
| 1356670590 | Kenneth Mays | Family Medicine | 4299 Lake Street, Bridgman, MI 49106 | 2009-12-17 |
| 1164623385 | Dockerty Health Care Services Inc | Assisted Living Facility | 8850 Red Arrow Hwy, Bridgman, MI 49106 | 2007-05-29 |
| 1528278918 | Michael Joseph Marcincuk | Dentist | Red Arrow Dentistry, 9500 Red Arrow Highway, Bridgman, MI 49106 | 2007-05-23 |
| 1356304059 | Ryan E. Thomas, D.d.s. P.C. | Dentist | 9151 Red Arrow Hwy, Bridgman, MI 49106 | 2006-04-11 |
| 1316220106 | Lynda Sparks | Pharmacist | 3681 Shawnee Rd, Rite Aid Pharmacy, Bridgman, MI 49106 | 2011-09-28 |
| 1497965040 | Bridgman Psychological Services | Psychologist | 7889 Red Arrow Hwy, Bridgman, MI 49106 | 2007-05-23 |
| 1750696191 | Latreasa Klann | Doula | 9547 Maplewood, Bridgman, MI 49106-0156 | 2010-08-10 |
| 1548487168 | Bridgman Chiropractors. P.C. | Chiropractor | 9500 Red Arrow Hwy., Bridgman, MI 49106-0326 | 2007-04-18 |
| 1578786620 | John H. Foti, P.C. | Chiropractor | 4270 Lake St., Box 489, Bridgman, MI 49106-0489 | 2007-04-10 |
| Find all providers in zip 49106 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669906475 | Arinas Senior Care LLC | Nursing Facility/Intermediate Care Facility | 6861 N Clunbury Rd, West Bloomfield, MI 48322-4316 | 2017-04-18 |
| 1063963304 | Susan Traut | Nursing Facility/Intermediate Care Facility | 1 Dunlap Cir, Oxford, MI 48371-5206 | 2016-10-21 |
| 1700258225 | Danielle Shilling | Nursing Facility/Intermediate Care Facility | 1011 E Central Rd, Quincy, MI 49082-9725 | 2015-10-23 |
| 1952798076 | Rehabilitation Masters PC | Nursing Facility/Intermediate Care Facility | 20331 Mauer St, Saint Clair Shores, MI 48080-1773 | 2015-04-16 |
| 1588055701 | Nextstep Billing and Payroll | Nursing Facility/Intermediate Care Facility | 3201 University Dr, Suite 250, Auburn Hills, MI 48326-2394 | 2015-02-10 |
| 1679993489 | Partners In Parenting | Nursing Facility/Intermediate Care Facility | 8235 Freda St, Detroit, MI 48204-3127 | 2014-04-18 |
| 1528491438 | Altum Care Homes | Nursing Facility/Intermediate Care Facility | 23408 Plum Hollow St, Southfield, MI 48033-3275 | 2013-08-14 |
| 1801233465 | Wellness Group Home Care LLC | Nursing Facility/Intermediate Care Facility | 26300 Ford Rd Ste 421, Dearborn Heights, MI 48127-2854 | 2013-05-22 |
| 1548537103 | Rest Haven Homes Inc | Nursing Facility/Intermediate Care Facility | 1424 Union Ave Ne, Grand Rapids, MI 49505-5197 | 2011-11-28 |
| 1649568726 | Aa Home Health Care, LLC | Nursing Facility/Intermediate Care Facility | 55 N Pond Dr Ste 1, Walled Lake, MI 48390-3080 | 2011-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.