=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871483156
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LETHA JONES
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2025
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 403 FIRST ST.
-----------------------------------------------------
City | NEW HAVEN
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25265
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-266-1185
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 976
-----------------------------------------------------
City | NEW HAVEN
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 25265-0976
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------