Active NPI
Patrice Jones
- Adult Care Home Facility
- Ashtabula, OH
National Provider Identifier
1669803862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- PN-125152
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.