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RONDELL GORDON
NPI 1164078739
Home Health in Jacksonville, FL

Active since August 10, 2019
7504 WILDER AVE, JACKSONVILLE, FL 32208(904) 525-4296(606) 769-1459 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2019, Aug 10, 2019 (2 updates tracked since 2019).

About Rondell Gordon NPPES

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

RONDELL GORDON (NPI 1164078739) is an individual home health provider in Jacksonville, Florida and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1164078739
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameRONDELL GORDON
Location Address7504 WILDER AVEJacksonville, FL 32208-4272
Mailing Address7504 Wilder AveJacksonville, FL 32208-4272 · (904) 525-4296 · Fax (606) 769-1459
Phone(904) 525-4296
Fax(606) 769-1459
Sole ProprietorYes
Enumeration DateAugust 10, 2019
Last NPPES UpdateAugust 15, 20192 updates tracked since enumeration
✔ NPI 1164078739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedHome Health AideTaxonomy 374U00000X
Also ListedHomemakerTaxonomy 376J00000X
7504 WILDER AVE, Jacksonville, FL 32208
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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 Rondell Gordon's NPI number?

The NPI number for Rondell Gordon is 1164078739. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Where is Rondell Gordon located?

Rondell Gordon practices at 7504 Wilder Ave, Jacksonville, FL 32208. The listed phone number is (904) 525-4296.

What is Rondell Gordon's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Rondell Gordon was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.