MEDICARE: JOE M JOHNSON III

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1629577010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOE M JOHNSON III

Provider Business Mailing Address
First Line	:	830 N SUMMIT ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-1884
Country	:	US
Telephone Number	:	419-693-9600
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 N 12TH ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43620-1931
Country	:	US
Telephone Number	:	419-215-6942
Fax Number	:

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

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	07/16/2024

Similar Medicare Providers

1649121674 — MAKING ALL PROVISION FOR THE PEOPLE
Practice Location Address:

2055 N 12TH ST
TOLEDO, OH
43620-1931

Practice Phone: 419-215-6942
Practice Fax:

1447021449 — JOSEPH MAURICE ELLIS JR.
Practice Location Address:

501 S DETROIT AVE
TOLEDO, OH
43609-1931

Practice Phone: 419-699-5734
Practice Fax:

1114453487 — KORTINIA MARTIN
Practice Location Address:

511 S DETROIT AVE
TOLEDO, OH
43609-1931

Practice Phone: 567-970-7267
Practice Fax:

1003527441 — AISHAH MUHAMMAD
Practice Location Address:

525 S DETROIT AVE
TOLEDO, OH
43609-1931

Practice Phone: 567-420-5570
Practice Fax:

1356052799 — OPEN ARMS HOME SERVICES
Practice Location Address:

525 S DETROIT AVE
TOLEDO, OH
43609-1931

Practice Phone: 567-420-5570
Practice Fax:

1922825835 — TIARA ENSLEY
Practice Location Address:

TIARA ENSLEY , 1931 SOUTH OTTAWA COVE DRIVE 3B
TOLEDO, OH
43611

Practice Phone: 419-322-0516
Practice Fax:

Directions to “ JOE M JOHNSON III ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.