Jini Rebecca Jordan, M.Ed.
In Home Supportive Care in Holland, OH. Individual provider (NPI-1).
NPI number1134845779
StatusActive
Last updated in NPPESOct 14, 2022
Details
- NPI
- 1134845779
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jini Rebecca Jordan
- Credential
- M.Ed.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2022
- Certification date
- Oct 14, 2022
- Last updated
- Oct 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 146D00000X | Personal Emergency Response Attendant | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 172A00000X | Driver | – | – | |
| 174200000X | Meals | – | – | |
| 177F00000X | Lodging | – | – | |
| 251E00000X | Home Health | – | – | |
| 347C00000X | Private Vehicle | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
7352 Northquay CtHolland, OH 43528-7706
Phone 419-410-9423
Mailing address
7352 Northquay CtHolland, OH 43528-7706
Phone 419-410-9423
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