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NPI Code Detail

MEDICARE: JORDYN ROSE

MEDICARE: JORDYN ROSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideNV

General Provider Information

NPI Number : 1831038157
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDYN ROSE
Provider Business Mailing Address
First Line : 4505 PARADISE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-7134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3930 HOWARD HUGHES PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89169-0943
Country : US
Telephone Number : 702-560-2192
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ JORDYN ROSE ” Practice Location

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