JAZ CICERO SANTANA BOYCE
NPI 1083067896
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbus, OH

Active since July 16, 2016
3118 HOUSTON DR, COLUMBUS, OH 43207(614) 407-6352 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2023, Jul 16, 2016 (2 updates tracked since 2016).

About Jaz Cicero Santana Boyce NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAZ CICERO SANTANA BOYCE (NPI 1083067896) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Columbus, Ohio and active in the NPI registry since July 2016. He maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1083067896
Entity TypeIndividualMale
Primary Taxonomy320900000X
Provider Legal NameJAZ CICERO SANTANA BOYCE
Location Address3118 HOUSTON DRColumbus, OH 43207-3398
Mailing Address3118 Houston DrColumbus, OH 43207-3398 · (614) 407-6352
Sole ProprietorYes
Enumeration DateJuly 16, 2016
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1083067896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
3118 HOUSTON DR, Columbus, OH 43207

Other Names 1

Other Name (5)Eijaz Kaytennae Shabazz El

Secondary Practice Location 1

Location 12167 Mock RdColumbus, OH 43219-1284 · Phone (614) 407-6352

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaz Boyce's NPI number?

The NPI number for Jaz Boyce is 1083067896. It was assigned to this individual provider in the NPPES registry on July 16, 2016. The provider is also known as Eijaz Kaytennae Shabazz El.

Where is Jaz Boyce located?

Jaz Boyce practices at 3118 Houston Dr, Columbus, OH 43207. The listed phone number is (614) 407-6352.

What is Jaz Boyce's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jaz Boyce was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.