# JORDAN HOME HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jordan Health Services, Elara Caring
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598758302
- **Authorized official:** PAM BLALOCK (BILLING SPECIALIST)
- **Authorized official phone:** (903) 537-8621

## Contact information

- **Practice address:** 1510 E GRANDE BLVD, STE. C, TYLER, TX 75703-3978
- **Practice address phone:** (903) 577-8822
- **Practice address fax:** (903) 577-0165
- **Mailing address:** 1510 E GRANDE BLVD STE C, TYLER, TX 75703-3978
- **Mailing address phone:** (903) 577-8822
- **Mailing address fax:** (903) 577-0165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 008180 | TX | Yes |

## Other

- **Enumeration date:** 08/26/2005
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004823 | — | TX |
| 05 | — | 001004824 | — | TX |
| 05 | — | 001004825 | — | TX |
| 05 | — | 157246301 | — | TX |
| 05 | — | 157246302 | — | TX |
| 05 | — | 158219902 | — | TX |
| 01 | — | HH205H | BCBS PROVIDER NUMBER | TX |