Individual provider Active NPI

Shawntaye Takisha Jones

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1568789451
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7711417 Issued in OH
Practice address
215 E Waterloo Rd Ste 14
Akron, OH 44319-1236
Phone
(330) 634-3089
Fax
(234) 542-2948
NPI assigned
Apr 30, 2010
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7711417 OH Primary
Community Health Worker 172V00000X

Addresses

Primary practice location

215 E Waterloo Rd Ste 14
Akron, OH 44319-1236

Mailing address

215 E Waterloo Rd Ste 14
Akron, OH 44319-1236
Phone (330) 634-3089

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

State licenses

LicenseStateTypeSpecialty
7711417OHMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Opening Arms Outreach Social Services, Inc CurrentSince Oct 25, 2020 Accepting new patients

Locations

215 E Waterloo Rd
Ste 14
Akron, OH 44319
Phone (330) 634-3089

Organizations & group practices 1

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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1568789451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WATERLOO RD STE 14",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191236",
            "telephone_number": "330-634-3089",
            "fax_number": "234-542-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WATERLOO RD STE 14",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191236",
            "telephone_number": "330-634-3089",
            "fax_number": "234-542-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHAWNTAYE",
        "middle_name": "TAKISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "7711417",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.