Healthcare Provider Details

I. General information

NPI: 1144068693
Provider Name (Legal Business Name): JONES & TAYLOR LIFECARE CONNECTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 S CEDAR BROOK RD
SICKLERVILLE NJ
08081-3700
US

IV. Provider business mailing address

519 N WEST AVE
VINELAND NJ
08360-3510
US

V. Phone/Fax

Practice location:
  • Phone: 856-723-4965
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: REGINALD MAURICE JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 848-205-5732