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RONDELL GORDON NPI 1164078739


NPI Information

NPI: 1164078739
Provider Name: RONDELL GORDON
Classification: Home Health - 251E00000X
Entity Type: Individual
Address:
7504 WILDER AVE
JACKSONVILLE, FL
ZIP 32208
Phone: (904) 525-4296
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Rondell Gordon is a home health in Jacksonville, FL. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. Rondell Gordon NPI is 1164078739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7504 WILDER AVE
JACKSONVILLE, FL
ZIP 32208-272
Phone: (904) 525-4296
Fax: (606) 769-1459

The enumeration date for this NPI number is 8/10/2019 and was last updated on 8/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372600000XAdult CompanionFLORIDANo
2372500000XChore ProviderFLORIDANo
3374U00000XHome Health AideFLORIDANo
4376J00000XHomemakerFLORIDANo
5251E00000XHome HealthFLORIDAYes

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: 4/28/2024

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