Organization Active NPI

Patrice Jones

  • Adult Care Home Facility
  • Ashtabula, OH
National Provider Identifier
1669803862
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
PN-125152 Issued in OH
Legal business name
PATRICE JONES
Practice address
5704 Washington Blvd
Ashtabula, OH 44004-6450
Phone
(440) 812-4878
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Patrice Jones
Title
LPN
Phone
(440) 812-4878

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PN-125152 OH
Alzheimer Center (Dementia Center) 311500000X PN-125152 OH
Adult Care Home Facility 311ZA0620X PN-125152 OH Primary
Nursing Facility/Intermediate Care Facility 313M00000X PN-125152 OH
Skilled Nursing Facility 314000000X PN-125152 OH

Addresses

Primary practice location

5704 Washington Blvd
Ashtabula, OH 44004-6450

Mailing address

5704 Washington Blvd
Ashtabula, OH 44004-6450
Phone (440) 812-4878

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1669803862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5704 WASHINGTON BLVD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046450",
            "telephone_number": "440-812-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 WASHINGTON BLVD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046450",
            "telephone_number": "440-812-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICE JONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "440-812-4878"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "PN-125152",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "PN-125152",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "PN-125152",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "PN-125152",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "PN-125152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.