JANICE GORDON (NPI# 1730728148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730728148 |
| Entity Type | Individual |
| Full Name | JANICE GORDON |
| Practice Address |
1120 W Butler Rd Ste I Greenville SC 29607-4809 |
| Practice Telephone | 8642696985 |
| Practice Fax Number | 8647511619 |
| Mailing Telephone | 8642696985 |
| Mailing Fax Number | 8647511619 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2020-34953 | SC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NAICS | 238990 | 01 | |
| NAICS | 236118 | 01 | |
| NAICS | 238290 | 01 | |
| NAICS | 333921 | 01 | |
| NAICS | 446119 | 01 | |
| NAICS | 532283 | 01 | |
| NAICS | 811198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770132136 | Janice L Gordon | Licensed Psychiatric Technician | 1133 Coloma Way, Roseville, CA 95661-4480 | 2019-09-09 |
| 1558326850 | Janice Gordon | Physical Therapist | 625 Walnut St, Mckeesport, PA 15132-2806 | 2006-04-19 |
| 1184696262 | Janice G Gordon | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2006-02-03 |
| Street Address |
1120 W BUTLER RD STE I |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649828948 | Paul Daniel Rodgers | Contractor | 211 Beth St, Greenville, NC 27858-8607 | 2019-08-29 |
| 1841778735 | James Wilson | Contractor | 827 Highway 82 W, Greenville, MS 38701-5715 | 2018-08-01 |
| 1659815462 | Stacy House | Contractor | 3910 Elkin Ridge Dr # B, Greenville, NC 27858-1020 | 2016-12-13 |
| 1871905471 | Shawn Mcconathy | Contractor | 319 Wade Hampton Blvd, Greenville, SC 29609-5738 | 2014-05-30 |
| 1043657216 | April Wilkerson | Contractor | 2 Club Terrace, Greenville, SC 29636 | 2013-05-29 |
| 1013200948 | Medaclaim | Contractor | 1540 Wade Hampton Blvd, Suite H, Greenville, SC 29609-5063 | 2011-05-25 |
| 1821314048 | Sparkle Ann German | Contractor | 11898 S County Line Rd, Greenville, MI 48838-9441 | 2010-04-13 |
| 1346485828 | Connie E Tate | Contractor | 17 Lawton Ave, Greenville, SC 29601-2305 | 2008-12-11 |
| 1306482278 | Alliance Courier and Delivery Services, LLC | Contractor | 33 Market Point Dr, Greenville, SC 29607-5768 | 2019-11-25 |
| 1760025423 | Darius Jerome Anderson | Contractor | 33 Market Point Dr, Greenville, SC 29607-5768 | 2019-10-24 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.