Healthcare Provider Details

I. General information

NPI: 1699457101
Provider Name (Legal Business Name): ASIAH JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2023
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E BAGLEY RD
BEREA OH
44017-2058
US

IV. Provider business mailing address

202 E BAGLEY RD
BEREA OH
44017-2058
US

V. Phone/Fax

Practice location:
  • Phone: 216-373-9226
  • Fax:
Mailing address:
  • Phone: 216-373-9226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613595
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: