Patricia Jones Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906308 Issued in FL

Legal business name

PATRICIA JONES ADULT FAMILY CARE HOME

Practice address

207 Olivick Cir NE
Palm Bay, FL 32907-1136

Phone

(321) 676-1714

Fax

(321) 676-1714

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Jones I

Title

Administrator/Cna/BS

Phone

(321) 676-1714

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lewis Lee Cook Jr., M.D.

  • Internal Medicine Physician
  • Stuart, FL
  • NPI 1750316386
  NPD (past)

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1992947170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 OLIVICK CIR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071136",
            "telephone_number": "321-676-1714",
            "fax_number": "321-676-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 OLIVICK CIR NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071136",
            "telephone_number": "321-676-1714",
            "fax_number": "321-676-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA JONES ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CNA/BS",
        "authorized_official_telephone_number": "321-676-1714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "52962609",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "6906308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pavankumar Patel, MD
• Pulkita P Patel, APRN
• Shraddha Patel
• Vishnu Patel, MD
• Ritesh Patil, M.D.,MPH
• Ailena Sowden Patterson
• Richard Scott Patzlaff, PTA
• Paul J Befanis MD PA
• Paul J Befanis MD PA
• Katia L Paul, COTA

• Adult Care Home Facility in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.