MARY JACKSON I (NPI# 1013331586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013331586 |
| Entity Type | Individual |
| Full Name | MARY JACKSON I |
| Practice Address |
555 Old Lewiston Rd Winthrop ME 04364-4112 |
| Mailing Address |
Po Box 258 Winthrop ME 04364-0258 |
| Practice Telephone | 2074463215 |
| Mailing Telephone | 2074463215 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605690 | Mary Sonya Jackson | Contractor | 5480 Hedge Brooke Pointe Nw, Acworth, GA 30101-7142 | 2020-10-06 |
| 1194388678 | Mary Sheree Jackson | Home Health Aide | 226 Mckinley St, Pittsburgh, PA 15210-3312 | 2019-04-19 |
| 1508358813 | Mary Jackson | Counselor | 3442 W Emma Pl, Queen Creek, AZ 85142-0506 | 2018-06-01 |
| 1891220935 | Mary Jackson | Counselor | 2824 N Cascade Ave, Colorado Springs, CO 80907-6213 | 2017-04-26 |
| 1992152672 | Mary Jackson | Non-emergency Medical Transport (VAN) | 421 Lively Hope Rd, Callao, VA 22435-2511 | 2016-05-23 |
| 1699121129 | Mary Theresa Jackson | Counselor | 345 Old Cuyler Rd, Ellabell, GA 31308-5858 | 2016-05-13 |
| 1316203854 | Mary Louise Jackson | Home Health Aide | 256 Clairmont Ave, Mansfield, OH 44903-1547 | 2012-04-10 |
| 1376835298 | Mary Bickel Jackson | Nutritionist | 33 Fulton Plaza, Middletown, NY 10940 | 2011-05-11 |
| 1437456522 | Mary Elisabeth Jackson | Counselor | 804 South Oakland Ave, Carbondale, IN 62901 | 2011-02-25 |
| 1700186707 | Mary Sebrena Jackson | Social Worker | 450 Racetrack Rd, Mcdonough, GA 30252-6837 | 2010-10-25 |
| Street Address |
555 OLD LEWISTON RD |
| City | WINTHROP |
| State | ME |
| Zip Code | 04364-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568886687 | Queen of Errands | Chore Provider | 555 Old Lewiston Rd, Winthrop, ME 04364-4112 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811408446 | Kimberly Morgan Fichthorn | Dental Hygienist | 168 Main St Ste C, Winthrop, ME 04364 | 2017-10-23 |
| 1609266154 | Darcia M Landers | Nurse's Aide | 32 Clark Street, Apt A, Winthrop, ME 04364 | 2015-02-04 |
| 1679971758 | Employment Happens | Specialist | 9 Pamela Dr, Winthrop, ME 04364 | 2014-12-05 |
| 1497087340 | Lisa Boulet | Dental Hygienist | 676 Old Lewiston Rd, Winthrop, ME 04364 | 2010-02-03 |
| 1508070426 | Sara Mcclure | Physical Therapist | 18a High Street, Wintrhop, ME 04364 | 2007-05-09 |
| 1467678854 | Westwind House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Gayton Lane, Winthrop, ME 04364 | 2007-04-17 |
| 1013096676 | Michael Alton Hoyt | Chiropractor | 1354 Us Rt 202, Winthrop, ME 04364 | 2006-11-03 |
| 1427159417 | Steven J Feldman | Social Worker | Therapy Corner 1318 Route 22, Winthrop, ME 04364 | 2006-09-25 |
| 1699736330 | Susan Rand Phillips | Physical Therapist | 18a High St, Winthrop, ME 04364 | 2006-03-31 |
| 1508854647 | Catharine Anne Heffernan | Advanced Practice Midwife | 149 Main St, Ste 2a, Winthrop Family Practice - Mgmc Midwifery Services, Winthrop, ME 04364 | 2005-10-12 |
| Find all providers in zip 04364 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548884323 | A&m Home Care Corp | Technician | 84 Hammond St Ste 441, Bangor, ME 04401-4915 | 2020-06-08 |
| 1528680261 | Adam Ketchum | Technician | 56 Smith St Apt 2, Bangor, ME 04401-4715 | 2020-05-16 |
| 1720639966 | Jane Marie Worster | Technician | 211 Marsh Stream Rd, Frankfort, ME 04438-3214 | 2019-09-27 |
| 1942859715 | Compassionate Caregivers for Me, LLC | Technician | 596 Hinckley Rd, Clinton, ME 04927-3619 | 2019-09-05 |
| 1922665348 | Marcia L Vanbuskirk | Technician | 353 Cushing Rd, Cushing, ME 04563-3118 | 2019-05-21 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1134667611 | Michael Brow | Technician | 31 Bay Woods Rd, Bristol, ME 04539-3002 | 2017-02-06 |
| 1285171629 | Caroline Walsh Toto-lawrence | Technician | 258 Ridge Road, Fairfield, ME 04937 | 2017-01-24 |
| 1265975932 | Ocean Home Healthcare LLC | Technician | 68 Bishop St Ste 2, Portland, ME 04103-2681 | 2016-11-29 |
| 1306390976 | Cheryl Ann Ladner | Technician | 355 Foxcroft Rd, Houlton, ME 04730-3400 | 2016-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARY JACKSON I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.