JORDAN RESIDENTIAL & VOCATIONAL SERVICES INC. NPI 1124757745

NPI Information

  • NPI: 1124757745
  • Provider Name: JORDAN RESIDENTIAL & VOCATIONAL SERVICES INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 2928 WITHERS AVE
    PUEBLO, CO
    ZIP 81008
  • Phone: (719) 543-8178

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NPI Details

JORDAN RESIDENTIAL & VOCATIONAL SERVICES INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Pueblo, CO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. JORDAN RESIDENTIAL & VOCATIONAL SERVICES INC. NPI is 1124757745. The provider is registered as an organization entity type.

The provider's business location address is:

2928 WITHERS AVE
PUEBLO, CO
ZIP 81008-248
Phone: (719) 543-8178
Fax: (719) 545-8583

The provider's authorized official is Mike Edward Jordan .
The authorized official title is Owner and has the following contact phone number (719) 251-4604.

The enumeration date for this NPI number is 6/8/2022 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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