Healthcare Provider Details

I. General information

NPI: 1962328666
Provider Name (Legal Business Name): ANGELA D JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1582 MAPLEGROVE RD
SOUTH EUCLID OH
44121-3026
US

IV. Provider business mailing address

1582 MAPLEGROVE RD
SOUTH EUCLID OH
44121-3026
US

V. Phone/Fax

Practice location:
  • Phone: 216-727-5222
  • Fax:
Mailing address:
  • Phone: 216-727-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: