Provider Demographics
NPI:1114380391
Name:JORDEN'S DAYHAB AND RESPITE SERVICES
Entity Type:Organization
Organization Name:JORDEN'S DAYHAB AND RESPITE SERVICES
Other - Org Name:JORDEN'S DAYHAB AND RESPITE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JORDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-944-3802
Mailing Address - Street 1:9747 RAVENWORTH DR.
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031
Mailing Address - Country:US
Mailing Address - Phone:832-944-3802
Mailing Address - Fax:
Practice Address - Street 1:9747 RAVENSWORTH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-3121
Practice Address - Country:US
Practice Address - Phone:832-944-3802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No347C00000XTransportation ServicesPrivate Vehicle
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child