JERMAINE JORDAN STNA
NPI 1104368240
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Sanford, FL

Q: What is Jermaine Jordan's NPI number?

The NPI number for Jermaine Jordan is 1104368240. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Q: What is Jermaine Jordan's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Q: When was this NPI record last updated?

The NPPES record for Jermaine Jordan was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 07, 2016

1210 RETREAT VIEW CIR, SANFORD, FL 32771(216) 772-9101 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jermaine Jordan Stna NPPES

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

JERMAINE JORDAN STNA (NPI 1104368240) is an individual assisted living, behavioral disturbances provider in Sanford, Florida, licensed in Florida (CNA312402) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1104368240

Entity TypeIndividualMale

Primary Taxonomy3104A0630X

Provider Legal NameJERMAINE JORDANCredential: STNA

Location Address1210 RETREAT VIEW CIRSanford, FL 32771-7276

Mailing Address1210 Retreat View CirSanford, FL 32771-7276 · (216) 772-9101

Phone(216) 772-9101

Sole ProprietorYes

Enumeration DateNovember 7, 2016

✔ NPI 1104368240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

License✔ Licensed in FL · CNA312402

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

1210 RETREAT VIEW CIR, Sanford, FL 32771

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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 Jermaine Jordan's NPI number?

The NPI number for Jermaine Jordan is 1104368240. It was assigned to this individual provider in the NPPES registry on November 7, 2016.

Where is Jermaine Jordan located?

Jermaine Jordan practices at 1210 Retreat View Cir, Sanford, FL 32771. The listed phone number is (216) 772-9101.

What is Jermaine Jordan's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Jermaine Jordan was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.