Individual provider Active NPI

Rudolph Clifford Jones Jr., CMS

  • Case Manager/Care Coordinator
  • Lima, OH
National Provider Identifier
1457119315
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
311 E Market St
Lima, OH 45801-4535
Phone
(419) 222-4474
Fax
(419) 222-4077
NPI assigned
Mar 6, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

311 E Market St
Lima, OH 45801-4535

Mailing address

311 E Market St
Lima, OH 45801-4535
Phone (419) 222-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc CurrentSince Mar 12, 2024 Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc PastSince Mar 12, 2024 Accepting new patients

Locations

311 E Market St
Lima, OH 45801
Phone (419) 222-4474

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1457119315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014535",
            "telephone_number": "419-222-4474",
            "fax_number": "419-222-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RUDOLPH",
        "middle_name": "CLIFFORD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.