Healthcare Provider Details

I. General information

NPI: 1053278564
Provider Name (Legal Business Name): MR. RONALD JONES JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 S 180TH ST
OMAHA NE
68136-2008
US

IV. Provider business mailing address

11110 S 180TH ST
OMAHA NE
68136-2008
US

V. Phone/Fax

Practice location:
  • Phone: 531-283-6029
  • Fax:
Mailing address:
  • Phone: 531-283-6029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: