Mike Jordan
NPI 1790153039 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Pueblo, CO
Mike Jordan is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Pueblo, CO (NPI 1790153039).
Provider details
- NPI number
- 1790153039
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Frequently asked questions
- What is Mike Jordan's NPI number?
- Mike Jordan's National Provider Identifier (NPI) is 1790153039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mike Jordan's specialty?
- Mike Jordan is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mike Jordan located?
- Mike Jordan's practice location on file with NPPES is 2928 Withers Ave, Pueblo, CO 81008-1248.
- What is Mike Jordan's phone number?
- The practice phone number listed in the NPPES registry for Mike Jordan is (719) 543-8178.
- Is Mike Jordan's NPI active?
- Yes — Mike Jordan's NPI (1790153039) is active in the NPPES registry as of the last update on 2015-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.