Jordan Community Residential

LBN: Jordan Community Residential
Jordan Community Residential is an health care organization with primary practice located at 30841 Euclid Ave Ste 103 , Willoughby OH 44094-3100. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Jordan Community Residential can be contacted via phone (216) 441-2496, or through Gant, Tenisha via phone (216) 441-2496.

Contact Information

Primary practice address
30841 Euclid Ave Ste 103 Willoughby OH 44094-3100
Phone: (216) 441-2496
Fax: (216) 634-9611
Website:
Map and Directions
Authorized official contact:
Name: Gant, Tenisha
Phone: (216) 441-2496

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X

Profile Details

NPI number 1164068524
LBN Legal business name Jordan Community Residential
DBA Doing business as
Authorized official Gant, Tenisha
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2019
Last updated Apr 26th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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