Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB GORDON
Active Sole ProprietorJACOB 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 LNCOLUMBUS, OH, 432157023Browse 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.