MEDICARE: MARIAH DENISE JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1780202549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH DENISE JONES

Provider Business Mailing Address
First Line	:	1736 POINTVIEW AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-2914
Country	:	US
Telephone Number	:	330-598-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1724 SILLIMAN ST
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44509-2449
Country	:	US
Telephone Number	:	339-598-9500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	06/20/2025

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