BOBBY JORDAN (NPI# 1194230565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194230565 |
| Entity Type | Individual |
| Full Name | BOBBY JORDAN |
| Practice Address |
38882 Mentor Ave Willoughby OH 44094-7875 |
| Practice Telephone | 4409539999 |
| Practice Fax Number | 4409183839 |
| Mailing Telephone | 4409539999 |
| Mailing Fax Number | 4409183839 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417370305 | Bobby Jordan | Social Worker | 5800 Salvia Avenue, Cincinnati, OH 45224 | 2014-01-28 |
| Street Address |
38882 MENTOR AVE |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962510107 | Heather Marie Rice | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2006-08-28 |
| 1740895614 | Dwauna Morrow | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-09-09 |
| 1457964868 | Brandee Kelly | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-25 |
| 1124631866 | Robert Anthony Wilson | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1396358958 | Richard Thomas Sutton | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1285245779 | Michael Frier | Student in an Organized Health Care Education/Training Program | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1568072098 | Kathleen Marie Zarlinski | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1366052441 | Lauren Lavonne Lemons | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-04 |
| 1831707629 | Joseph Workman | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-07-17 |
| 1538782776 | Erika Lee Knight | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072098 | Kathleen Marie Zarlinski | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1831707629 | Joseph Workman | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-07-17 |
| 1588203889 | Jonathon Williams | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-03 |
| 1477192920 | Christine Blake | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-02 |
| 1700423183 | Courtney Dawn Elliott | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-12-05 |
| 1558908129 | Alexandria Nicole Suchetka | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-12-03 |
| 1023654852 | Alanna Ruth Sudberry | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-11-27 |
| 1790321529 | Becky Ann Winslow | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-11-27 |
| 1346886892 | Mikayla G. Montgomery | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-11-20 |
| 1619513017 | Jason Michael Toth | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-11-20 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.