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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB GORDON

Active Sole Proprietor

JACOB GORDON is a Respite Care (Camp) healthcare provider located in COLUMBUS, Ohio. NPI 1619793015 is currently active in the NPPES registry. Verify at CMS.

Respite Care (Camp) · COLUMBUS, OH

Registration Details

NPI Number
1619793015
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2024 (1.5160397180259 yrs)
Last Updated
Dec 2, 2024
Licenses
UR685742 (OH)
UR685742 (OH)
Sole Proprietor
Yes

Practice Information

Address
1656 CANVASBACK LN
COLUMBUS, OH, 432157023
Browse OH providers · Browse ZIP 43215
Phone
4192706893
Primary Specialty
Respite Care (Camp)
385HR2060X
Additional Specialty
Private Vehicle
Additional Specialty
Respite Care (Camp)

Other Respite Care (Camp) Providers in COLUMBUS, OH

Name Credential NPI
TAMARA LEANN EARLY LPN 1558654905
HALEY JONES 1346944048
MR. REECE COX 1366130163
LILLIAN LAY 1407634041
DENISE JANE SHAH 1760208599
KINLEIGH PAIGE LEEZER 1538014899
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.