MR. CORTEZ JONES NPI 1174127260

NPI Information

NPI: 1174127260
Provider Name: MR. CORTEZ JONES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
470 WHITE POND DR STE 400
AKRON, OH
ZIP 44320
Phone: (234) 542-6230
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MR. Cortez Jones is a community based residential treatment facility, intellectual and/or developmental disabilities in Akron, 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. MR. Cortez Jones NPI is 1174127260. 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:

470 WHITE POND DR STE 400
AKRON, OH
ZIP 44320-185
Phone: (234) 542-6230
Fax: (330) 294-2025

The enumeration date for this NPI number is 11/30/2020 and was last updated on 11/30/2020.

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	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	7718054	OHIO	Yes
2	343900000X	Non-emergency Medical Transport (VAN)	7718054	OHIO	No
3	374U00000X	Home Health Aide	7718054	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7718054	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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