JAZ CICERO SANTANA BOYCE NPI 1083067896

NPI Information

NPI: 1083067896
Provider Name: JAZ CICERO SANTANA BOYCE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address: 3118 HOUSTON DR
COLUMBUS, OH
ZIP 43207
Phone: (614) 407-6352

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NPI Details

Jaz Cicero Santana Boyce is a community based residential treatment facility, intellectual and/or developmental disabilities in Columbus, OH. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Jaz Cicero Santana Boyce NPI is 1083067896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3118 HOUSTON DR
COLUMBUS, OH
ZIP 43207-398
Phone: (614) 407-6352

The enumeration date for this NPI number is 7/16/2016 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities	No
2	320800000X	Community Based Residential Treatment Facility, Mental Illness	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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