MEDICARE: JORDAN ASSURANCE HEALTH SERVICES LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962346593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORDAN ASSURANCE HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2365 MARION AVENUE RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-9491
Country	:	US
Telephone Number	:	614-626-9535
Fax Number	:

Provider Business Practice Location Address
First Line	:	2365 MARION AVENUE RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-9491
Country	:	US
Telephone Number	:	614-626-9535
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MISS JEAN ALEXANDRIA JORDAN
Credential	:	RN, BSN
Telephone Number	:	614-626-9535

Provider Enumeration Date	:	04/15/2026
Last Update Date	:	04/15/2026

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