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JACOB GORDON
NPI 1619793015
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Columbus, OH

Active since December 02, 2024
1656 CANVASBACK LN, COLUMBUS, OH 43215(419) 270-6893 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Gordon NPPES

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

JACOB GORDON (NPI 1619793015) is an individual respite care, intellectual and/or developmental disabilities provider in Columbus, Ohio and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1619793015
Entity TypeIndividualMale
Primary Taxonomy385HR2060X
Provider Legal NameJACOB GORDON
Location Address1656 CANVASBACK LNColumbus, OH 43215-7023
Mailing Address1656 Canvasback LnColumbus, OH 43215-7023 · (419) 270-6893
Phone(419) 270-6893
Sole ProprietorYes
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1619793015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
Also ListedDriverTaxonomy 172A00000X · License UR685742 (OH)
Also ListedPrivate VehicleTaxonomy 347C00000X · License UR685742 (OH)
1656 CANVASBACK LN, Columbus, OH 43215
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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 Jacob Gordon's NPI number?

The NPI number for Jacob Gordon is 1619793015. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Jacob Gordon located?

Jacob Gordon practices at 1656 Canvasback Ln, Columbus, OH 43215. The listed phone number is (419) 270-6893.

What is Jacob Gordon's specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Jacob Gordon was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.