Jordan Raffin, QMHS, BA
Case Manager/Care Coordinator in Canton, OH. Individual provider (NPI-1).
NPI number1669947289
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1669947289
- Entity type
- Individual (NPI-1)
- Name
- Jordan Raffin
- Credential
- QMHS, BA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2018
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | OH | Yes |
Other names
- Jordan Davis (Former Name)
Practice location
625 Cleveland Ave NwCanton, OH 44702-1805
Phone 330-445-2677 · Fax 330-455-2101
Mailing address
625 Cleveland Ave NwCanton, OH 44702-1805
Phone 330-455-0374 · Fax 330-453-6716
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 560 Case Manager/Care Coordinator providers in Canton · All 7,232 providers in Canton
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