Healthcare Provider Details

I. General information

NPI: 1962346593
Provider Name (Legal Business Name): JORDAN ASSURANCE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2365 MARION AVENUE RD
MANSFIELD OH
44903-9491
US

IV. Provider business mailing address

2365 MARION AVENUE RD
MANSFIELD OH
44903-9491
US

V. Phone/Fax

Practice location:
  • Phone: 614-626-9535
  • Fax:
Mailing address:
  • Phone: 614-626-9535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS JEAN ALEXANDRIA JORDAN
Title or Position: OWNER
Credential: RN, BSN
Phone: 614-626-9535