Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. JUSTIN WADE JORDAN
NPI 1689573305
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eaton, OH

Active since November 02, 2026
343 EATON LEWISBURG RD APT C, EATON, OH 45320(865) 306-0838 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Justin Wade Jordan NPPES

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

MR. JUSTIN WADE JORDAN (NPI 1689573305) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Eaton, Ohio and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1689573305
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameMR. JUSTIN WADE JORDAN
Location Address343 EATON LEWISBURG RD APT CEaton, OH 45320-1158
Mailing Address343 Eaton Lewisburg Rd Apt CEaton, OH 45320-1158
Sole ProprietorYes
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1689573305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
343 EATON LEWISBURG RD APT C, Eaton, OH 45320

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 Justin Jordan's NPI number?

The NPI number for Justin Jordan is 1689573305. It was assigned to this individual provider in the NPPES registry on November 2, 2026.

Where is Justin Jordan located?

Justin Jordan practices at 343 Eaton Lewisburg Rd Apt C, Eaton, OH 45320. The listed phone number is (865) 306-0838.

What is Justin Jordan's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Justin Jordan was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.