Provider Demographics
NPI:1992080071
Name:JORDAN BROOKES SENIOR CONCIERGE SERVICES
Entity type:Organization
Organization Name:JORDAN BROOKES SENIOR CONCIERGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUCASADA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-546-3575
Mailing Address - Street 1:6486 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-3884
Mailing Address - Country:US
Mailing Address - Phone:786-546-3575
Mailing Address - Fax:954-322-4199
Practice Address - Street 1:6486 SW 26TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3884
Practice Address - Country:US
Practice Address - Phone:786-546-3575
Practice Address - Fax:954-322-4199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care