Providence

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROVIDENCE

Practice address

43545 Kirkland Ave
Apt.36
Lancaster, CA 93535-4668

Phone

(661) 948-7830

NPI assigned

Apr 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jessica Nakita Jones-Montgomery, BSW, MPA

Title

Case Manager

Phone

(661) 822-8223

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124246244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43545 KIRKLAND AVE",
            "address_2": "APT.36",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354668",
            "telephone_number": "661-948-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43545 KIRKLAND AVE",
            "address_2": "APT.36",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935354668",
            "telephone_number": "661-948-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES-MONTGOMERY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "NAKITA",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "661-822-8223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW, MPA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.