JEFFREY ANTOINE SMALL
NPI 1942058144
Assisted Living Facility - Assisted Living, Mental Illness in Toledo, OH

Q: What is Jeffrey Small's NPI number?

The NPI number for Jeffrey Small is 1942058144. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Q: What is Jeffrey Small's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Small was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 11, 2024

4042 GARDEN PARK DR, TOLEDO, OH 43613(419) 490-3711 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jeffrey Antoine Small NPPES

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

JEFFREY ANTOINE SMALL (NPI 1942058144) is an individual assisted living, mental illness provider in Toledo, Ohio, licensed in Ohio (SN396250) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1942058144

Entity TypeIndividualMale

Primary Taxonomy3104A0625X

Provider Legal NameJEFFREY ANTOINE SMALL

Location Address4042 GARDEN PARK DRToledo, OH 43613-4043

Mailing Address4042 Garden Park DrToledo, OH 43613-4043 · (419) 490-3711

Phone(419) 490-3711

Sole ProprietorYes

Enumeration DateMay 11, 2024

NPPES CertifiedMay 11, 2024

✔ NPI 1942058144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in OH · SN396250

Definition

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.

4042 GARDEN PARK DR, Toledo, OH 43613

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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 Jeffrey Small's NPI number?

The NPI number for Jeffrey Small is 1942058144. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Jeffrey Small located?

Jeffrey Small practices at 4042 Garden Park Dr, Toledo, OH 43613. The listed phone number is (419) 490-3711.

What is Jeffrey Small's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Jeffrey Small was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.