JAZ C. BOYCE – NPI #1083067896
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

JAZ BOYCE is a community based residential treatment facility located in COLUMBUS, OH. NPPES has assigned the NPI number 1083067896 to JAZ BOYCE on July 16, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name EIJAZ KAYTENNAE SHABAZZ EL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 3 years ago on Jun 06, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAZ BOYCE below.

NPI Profile for
JAZ C. BOYCE

NPI Number
1083067896
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAZ C. BOYCE
Other Name: EIJAZ KAYTENNAE SHABAZZ EL
Primary location
3118 HOUSTON DR
COLUMBUS, OH 43207-3398
Phone: (614) 407-6352 Fax:
1 Other location(s):
2167 Mock Rd
Columbus, OH 43219-1284
Phone: (614) 407-6352
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 06, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.