Jones, Octavia
Jones, Octavia is an sole proprietor health care provider with primary practice located at 2800 Ruleme St # D48 , Eustis FL 32726-6543. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Adult Companion, Agencies / Home Health, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Jones, Octavia can be contacted via phone (352) 636-5526.Contact Information
Primary practice address
2800 Ruleme St # D48
Eustis FL 32726-6543
Phone: (352) 636-5526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Adult Companion | 372600000X | 45-3646998 | Florida |
| Agencies / Home Health | 251E00000X | 45-3646998 | Florida |
| Nursing Service Related Providers / Home Health Aide | 374U00000X | 45-3646998 | |
| Nursing Service Related Providers / Homemaker | 376J00000X | 45-3646998 | |
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | 45-3646998 |
Profile Details
| NPI number | 1649621715 |
|---|---|
| LBN Legal business name | Jones, Octavia |
| Credentials | Certified in Nursing Administration (CNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Sep 23rd, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649621715 | NPPES |
| Florida | MEDICAID | 831828 |
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