JEFFREY ANTOINE SMALL
NPI 1942058144
Assisted Living Facility - Assisted Living, Mental Illness in Toledo, OH
- Individual
- Male
- Assisted Living Facility
- Assisted Living, Mental Illness
About JEFFREY SMALL
This page provides the complete NPI Profile along with additional information for Jeffrey Small, a provider established in Toledo, Ohio with a medical specialization in Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1942058144 assigned on May 2024. The practitioner's primary taxonomy code is 3104A0625X with license number SN396250 (OH). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1942058144 Verify this NPI
- Provider Name
- JEFFREY ANTOINE SMALL
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4042 GARDEN PARK DR TOLEDO, OH 43613
- Location Phone
- (419) 490-3711
- Mailing Address
- 4042 GARDEN PARK DR TOLEDO, OH 43613
- Mailing Phone
- (419) 490-3711
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-11-2024
- Last Update Date
- 05-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- SN396250
- License State
- OH
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942058144, enumerated as an "individual" on May 11, 2024.
The provider is located at 4042 GARDEN PARK DR TOLEDO, OH 43613 and the phone number is (419) 490-3711.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
