MEDICARE: JIAIR JONES MCCLAIN

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	171M00000X	Case Manager/Care Coordinator		OH
2	376J00000X	Homemaker
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.191053	OH

General Provider Information

NPI Number	:	1912703570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIAIR JONES MCCLAIN

Provider Business Mailing Address
First Line	:	354 BURMAN AVE
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2716
Country	:	US
Telephone Number	:	326-467-9658
Fax Number	:

Provider Business Practice Location Address
First Line	:	2611 WAYNE AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45420-1833
Country	:	US
Telephone Number	:	937-228-0579
Fax Number	:

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

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	12/24/2025

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