Healthcare Provider Details

I. General information

NPI: 1235076183
Provider Name (Legal Business Name): MRS. LAUREN JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 SHADYWOOD DR
DAYTON OH
45415-1237
US

IV. Provider business mailing address

273 SHADYWOOD DR
DAYTON OH
45415-1237
US

V. Phone/Fax

Practice location:
  • Phone: 937-751-2614
  • Fax:
Mailing address:
  • Phone: 937-751-2614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberTJ551704
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberTJ551704
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: