Healthcare Provider Details

I. General information

NPI: 1912856022
Provider Name (Legal Business Name): MR. RICHARD JONES III
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 BERKELEY RD
COLUMBUS OH
43207-1508
US

IV. Provider business mailing address

1841 BERKELEY RD
COLUMBUS OH
43207-1508
US

V. Phone/Fax

Practice location:
  • Phone: 614-404-9967
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: