MS. JACQUELINE GALE MCGORDON
NPI 1063720787
Custodial Care Facility - Adult Care Home in Lakeland, FL

Q: What is Jacqueline Mcgordon's NPI number?

The NPI number for Jacqueline Mcgordon is 1063720787. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Q: What is Jacqueline Mcgordon's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since September 15, 2010

1038 N WALKER AVE, LAKELAND, FL 33805(863) 688-9776(863) 688-9776 Get Directions Write a Review

NPPES record last updated: August 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Jacqueline Gale Mcgordon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JACQUELINE GALE MCGORDON (NPI 1063720787) is an individual adult care home provider in Lakeland, Florida, licensed in Florida (6906490) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1063720787

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameMS. JACQUELINE GALE MCGORDON

Location Address1038 N WALKER AVELakeland, FL 33805-4276

Mailing Address828 W 2nd StLakeland, FL 33805-4226 · (863) 688-9776 · Fax (863) 688-0675

Phone(863) 688-9776

Fax(863) 688-9776

Sole ProprietorYes

Enumeration DateSeptember 15, 2010

Last NPPES UpdateAugust 23, 2011

✔ NPI 1063720787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in FL · 6906490

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1038 N WALKER AVE, Lakeland, FL 33805

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Mcgordon's NPI number?

The NPI number for Jacqueline Mcgordon is 1063720787. It was assigned to this individual provider in the NPPES registry on September 15, 2010.

Where is Jacqueline Mcgordon located?

Jacqueline Mcgordon practices at 1038 N Walker Ave, Lakeland, FL 33805. The listed phone number is (863) 688-9776.

What is Jacqueline Mcgordon's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jacqueline Mcgordon was last updated on August 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.