JORDAN BRIAN (NPI# 1053816504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053816504 |
| Entity Type | Individual |
| Full Name | JORDAN BRIAN |
| Practice Address |
120 N Walnut St Jefferson TX 75657-1934 |
| Mailing Address |
Po Box 901 Jefferson TX 75657-0901 |
| Practice Telephone | 9036656131 |
| Practice Fax Number | 9036657244 |
| Mailing Telephone | 9036656131 |
| Mailing Fax Number | 9036657244 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
120 N WALNUT ST |
| City | JEFFERSON |
| State | TX |
| Zip Code | 75657-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255591 | First In Pediatrics Home Health Care, Inc. | Home Health | 120 N Walnut St, Jefferson, TX 75657-1934 | 2006-05-23 |
| 1487273793 | Cynthia Berniece Chappell | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
| 1912526237 | Linda Kay Humber | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2020-04-16 |
| 1902449986 | Cally Elizabeth Eans | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-23 |
| 1003457862 | Amiee Darlene Burks Elam | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-03 |
| 1821639626 | Tequilla Monique Ford | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-02 |
| 1376184473 | Brandi Shardale Mccuin | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
| 1952942054 | Dedria Mechel Hightower | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-10-01 |
| 1790336436 | Ariel Anastashia Malone | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
| 1003467739 | Maci Danielle Sikes | Registered Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2019-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780131995 | Kimberly George | Case Manager/Care Coordinator | 261 Ma County Road 3430, Jefferson, TX 75657 | 2016-09-06 |
| 1124116561 | The Med Shop | Durable Medical Equipment & Medical Supplies | 110 N . Walnut, Jefferson, TX 75657 | 2006-10-11 |
| 1487644068 | Denise Sepulvado Norris | Occupational Therapist | 1404 Marion County Road 3509, Jefferson, TX 75657 | 2005-10-25 |
| 1700870185 | Robin Lynne Gale | Nurse Practitioner | 219 N Polk St, Jefferson, TX 75657 | 2005-08-31 |
| 1700072477 | James Leo Carroll | Physical Therapy Assistant | 339 Tangiers, Jefferson, TX 75657-0598 | 2007-09-17 |
| 1952397739 | Pine Hill Nursing and Rehabilitation Lp | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2005-09-27 |
| 1124495486 | Fannin County Hospital Authority | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2015-08-21 |
| 1598910291 | Jefferson I Enterprises, LLC | Skilled Nursing Facility | 1307 Martin Luther King Dr, Jefferson, TX 75657-1009 | 2008-11-21 |
| 1558404293 | Jefferson Isd | Local Education Agency (LEA) | 1600 Martin Luther King Dr, Jefferson, TX 75657-1061 | 2007-02-14 |
| 1730352667 | Demetria Rena Parker | Nurse's Aide | 506 E Harrison St, Jefferson, TX 75657-1106 | 2008-04-11 |
| Find all providers in zip 75657 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073018552 | Pauline Burton | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1720583263 | Pamela Kathleen Blakeley | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1710482211 | Lyntasha Pace Benson | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-03-27 |
| 1750882478 | Latarsha Evett Evans | Technician | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-02-27 |
| 1538228200 | Jefferson County Health Department | Technician | N3995 Annex Road, Jefferson, WI 53549-9618 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841301 | D&z Primary Home Care, LLC. | Technician | 2808 E Pauline Ln, Edinburg, TX 78542-2101 | 2020-11-05 |
| 1194326355 | Emma O. Franco | Technician | 708 3rd Street, Ozona, TX 76943 | 2020-11-04 |
| 1801497052 | Kizzie Ann Coleman | Technician | 7000 W. I-30 Apt. 836, Royse City, TX 75189 | 2020-11-04 |
| 1881294494 | Ifeoma Anita Ojukwu | Technician | 10440 South Dr Apt 506, Houston, TX 77099-2809 | 2020-11-01 |
| 1932709979 | Shannon Vinson | Technician | 12118 Parade Park Place, Houston, TX 77047-3534 | 2020-10-29 |
| 1881293439 | April Kay Gonzalez | Technician | 613 Montreal Ct, Brownsville, TX 78526-5136 | 2020-10-23 |
| 1467050484 | Lrv Group | Technician | 1905 S Arden St, Harlingen, TX 78552-7461 | 2020-10-12 |
| 1902403645 | Jireh Healthcare Services LLC. | Technician | 3000 N Mccoll Rd Ste 6, Mcallen, TX 78501-1476 | 2020-10-06 |
| 1285231399 | Texas Primary Home Care LLC | Technician | 701 Hidden Trce, Weslaco, TX 78599-4054 | 2020-10-02 |
| 1508473091 | Cielito Lindo Primary Home Care LLC | Technician | 8012 W Expressway 83 Ste B, Mission, TX 78572-2095 | 2020-09-28 |
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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.