JALA PETTAWAY
NPI 1174118921
Case Manager/Care Coordinator in Perrysburg, OH

Active since March 03, 2021
900 W SOUTH BOUNDARY ST, PERRYSBURG, OH 43551(419) 419-6211(419) 419-6231 Get Directions Write a Review

NPPES record last updated: March 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jala Pettaway NPPES

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

JALA PETTAWAY (NPI 1174118921) is an individual case manager/care coordinator provider in Perrysburg, Ohio and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1174118921
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameJALA PETTAWAY
Location Address900 W SOUTH BOUNDARY STPerrysburg, OH 43551-5230
Mailing Address900 W South Boundary St Bldg 6Perrysburg, OH 43551-5235
Fax(419) 419-6231
Sole ProprietorYes
Enumeration DateMarch 3, 2021
Last NPPES UpdateMarch 28, 2022
NPPES CertifiedMarch 28, 2022
NPI 1174118921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedBehavior TechnicianTaxonomy 106S00000X
900 W SOUTH BOUNDARY ST, Perrysburg, OH 43551

Other Identifiers 1

Medicaid2910854OH

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
900 W SOUTH BOUNDARY ST, BUILDING 2, SUITE B
PERRYSBURG, OH 43551
Physical Therapy Assistant
900 W SOUTH BOUNDARY ST, 7B
PERRYSBURG, OH 43551
Case Manager/Care Coordinator
900 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551
Physical Therapist
900 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551
In Home Supportive Care
900 W SOUTH BOUNDARY ST, BLDG 8, STE B
PERRYSBURG, OH 43551
Family Medicine
900 W SOUTH BOUNDARY ST, SUITE 3-B
PERRYSBURG, OH 43551
Internal Medicine (Rheumatology)
900 W SOUTH BOUNDARY ST, BLDG 5B
PERRYSBURG, OH 43551
Case Manager/Care Coordinator
900 W SOUTH BOUNDARY ST
PERRYSBURG, OH 43551

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 Jala Pettaway's NPI number?

The NPI number for Jala Pettaway is 1174118921. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Jala Pettaway located?

Jala Pettaway practices at 900 W South Boundary St, Perrysburg, OH 43551. The listed phone number is (419) 419-6211.

What is Jala Pettaway's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jala Pettaway was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.