Individual provider Active NPI

Nikaya Jones

  • Home Health Agency
  • Toledo, OH
National Provider Identifier
1952774085
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
RU558035 Issued in OH
Practice address
2830 Warsaw St
2520 Monroe St
Toledo, OH 43608-2363
Phone
(419) 290-2177
NPI assigned
Nov 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X RU558035 OH Primary

Addresses

Primary practice location

2830 Warsaw St
2520 Monroe St
Toledo, OH 43608-2363

Mailing address

2830 Warsaw St
PO.Box 80542
Toledo, OH 43608-2363
Phone (419) 290-2177

Other identifiers 1

IdentifierTypeStateIssuer
484219659604MedicaidOH

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
RU558035OHMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1952774085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 WARSAW ST",
            "address_2": "PO.BOX 80542",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082363",
            "telephone_number": "419-290-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 WARSAW ST",
            "address_2": "2520 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082363",
            "telephone_number": "419-290-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NIKAYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "RU558035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "484219659604",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.

Verify at the official NPI Registry.