Provider Demographics
NPI:1316241896
Name:JANET JONES GROUP HOME INC
Entity type:Organization
Organization Name:JANET JONES GROUP HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-626-1247
Mailing Address - Street 1:PO BOX 496280
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33949-6280
Mailing Address - Country:US
Mailing Address - Phone:941-626-1247
Mailing Address - Fax:941-629-4683
Practice Address - Street 1:1391 CAPRICORN BLVD
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-5941
Practice Address - Country:US
Practice Address - Phone:941-626-1247
Practice Address - Fax:941-629-4683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL089360311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL682974198Medicaid
FL687115179Medicaid
FL682974196Medicaid