Provider Demographics
NPI:1699379727
Name:JORDAN K HOME CARE INC
Entity Type:Organization
Organization Name:JORDAN K HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:NJOLAH
Authorized Official - Middle Name:ZOBOHN
Authorized Official - Last Name:KARMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-461-4833
Mailing Address - Street 1:63 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079-1912
Mailing Address - Country:US
Mailing Address - Phone:267-461-4833
Mailing Address - Fax:
Practice Address - Street 1:1311 SCOTT AVE
Practice Address - Street 2:
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079-2518
Practice Address - Country:US
Practice Address - Phone:267-342-9594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty