Shianne Violet Jonas
Individual provider Active NPI Home Health Aide · Willard, OH
NPI 1124778147 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1124778147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1438 Daniels Rd
Willard, OH 44890-9545 - Phone
- (405) 400-6039
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide |
374U00000X | Yes |
Addresses
Primary practice location
1438 Daniels Rd
Willard, OH 44890-9545
Mailing address
1438 Daniels Rd
Willard, OH 44890-9545
Phone (405) 400-6039
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910002086014 | Medicaid | OH |
Other providers in Willard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.