# JORDAN RIVER HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jordan River Home Health Care, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114515384
- **Authorized official:** MR. OSCAR LOPEZ MARTINEZ RN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (239) 331-2626

## Contact information

- **Practice address:** 501 GOODLETTE-FRANK RD N STE D-25, NAPLES, FL 34102-5661
- **Practice address phone:** (239) 331-2626
- **Practice address fax:** (239) 302-5490
- **Mailing address:** 501 GOODLETTE-FRANK RD N STE D-25, NAPLES, FL 34102-5661
- **Mailing address phone:** (239) 331-2626
- **Mailing address fax:** (239) 302-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2021
- **Last updated:** 07/16/2026