Provider Demographics
NPI:1063480812
Name:J. PAUL JONES HOME HEALTH
Entity Type:Organization
Organization Name:J. PAUL JONES HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENNEDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-682-4131
Mailing Address - Street 1:319A MCWILLIAMS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AL
Mailing Address - Zip Code:36726-1610
Mailing Address - Country:US
Mailing Address - Phone:334-682-9050
Mailing Address - Fax:334-682-9601
Practice Address - Street 1:319A MCWILLIAMS AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AL
Practice Address - Zip Code:36726-1610
Practice Address - Country:US
Practice Address - Phone:334-682-9050
Practice Address - Fax:334-682-9601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-43497OtherBCBS NURSE
AL510-95342OtherBCBS PT
ALJPA7086Medicaid
AL510-43497OtherBCBS NURSE