Jona Group Homes LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

JONA GROUP HOMES LLC

Practice address

17512 NE Glisan St
Portland, OR 97230-6502

Phone

(978) 996-0635

Fax

(971) 407-3978

NPI assigned

Jan 28, 2022

Organization subpart

No

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

Authorized official

Name

Nancy M Nganga

Title

Director

Phone

(978) 996-0635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1972256170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17512 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306502",
            "telephone_number": "978-996-0635",
            "fax_number": "971-407-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17512 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972306502",
            "telephone_number": "978-996-0635",
            "fax_number": "971-407-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONA GROUP HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "NGANGA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "978-996-0635"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trista L. Jolly, MAOM, L.AC.
• Celess Jollymore
• Heidi Jolson, MA LPC NCC CADC I
• Michelle Brooke Jolson, PSY.D.
• Jon Fox, Ms, LPC
• Brainna Wunderlin Jonak
• Jacob Stamp Jonas-Closs, BA
• Erik Clifford Jonas, RN, BSN
• Jonathan Ho Lac
• Jonathan May and Associates, a Behavioral Health Nursing Corporation

• PACE Provider Organization in Portland, OR
• Providers in Portland, OR by specialty
• PACE Provider Organization in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.