Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Lake

Individual provider Home Health Aide · NPI 1407642507

Jordan Lake is a Home Health Aide in Lincoln, Nebraska. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4433 S 70th St Ste 200
Lincoln, NE 68516-4275
Phone: (402) 768-2251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X

Record details

NPI number1407642507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 16, 2025
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address4433 S 70th St Ste 200, Lincoln, NE 68516-4275

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