MEDICARE: MISS CIERA JOVAN JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	374U00000X	Home Health Aide
3	171M00000X	Case Manager/Care Coordinator
4	251G00000X	Community Based Hospice Care Agency
5	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1508622440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CIERA JOVAN JONES

Provider Business Mailing Address
First Line	:	1688 CLAYBURN CIR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1546
Country	:	US
Telephone Number	:	513-560-5573
Fax Number	:

Provider Business Practice Location Address
First Line	:	1688 CLAYBURN CIR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-1546
Country	:	US
Telephone Number	:	513-560-5573
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	01/26/2026

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