Individual provider Active NPI

Jay Paul Paculaba De Chavez

  • Personal Care Attendant
  • Mansfield, OH
National Provider Identifier
1538017132
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
470 Sherman PL
Mansfield, OH 44903-1749
Phone
(567) 997-9047
NPI assigned
Mar 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

470 Sherman PL
Mansfield, OH 44903-1749

Mailing address

627 Hawthorne LN
Mansfield, OH 44907-1031
Phone (567) 997-9047

Other practice location 1

627 Hawthorne Ln
Mansfield, OH 44907-1031
Phone (567) 997-9047

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

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1538017132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 HAWTHORNE LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071031",
            "telephone_number": "567-997-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SHERMAN PL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031749",
            "telephone_number": "567-997-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071031",
            "country_code": "US",
            "telephone_number": "567-997-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE CHAVEZ",
        "first_name": "JAY PAUL",
        "middle_name": "PACULABA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.