Active NPI
Debra Jones
- Adult Care Home Facility
- Rochester, MN
National Provider Identifier
1750746038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- M263675300
- Practice address
- 3724 3Rd PL NW
Rochester, MN 55901-8442 - Phone
- (507) 287-6941
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | M263675300 | MN | Primary |
Addresses
Primary practice location
3724 3Rd PL NW
Rochester, MN 55901-8442
Mailing address
3724 3Rd PL NW
Rochester, MN 55901-8442
Phone (507) 287-6941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M263675300 | Other | MN | UMPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| M263675300 | MN | MD | Adult Care Home Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1750746038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 3RD PL NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559018442",
"telephone_number": "507-287-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 3RD PL NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559018442",
"telephone_number": "507-287-6941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "MN",
"license": "M263675300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMPI",
"identifier": "M263675300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.