Provider Demographics
NPI:1326867656
Name:JONZ 1 REISDENTIAL ASSISTED LIVING
Entity type:Organization
Organization Name:JONZ 1 REISDENTIAL ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-302-5769
Mailing Address - Street 1:15411 FIR WOODS LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-5247
Mailing Address - Country:US
Mailing Address - Phone:832-302-5769
Mailing Address - Fax:
Practice Address - Street 1:15411 FIR WOODS LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-5247
Practice Address - Country:US
Practice Address - Phone:832-302-5769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility