ANGELA P JACKSON (NPI# 1104431790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104431790 |
| Entity Type | Individual |
| Full Name | ANGELA P JACKSON |
| Practice Address |
5528 Meadow Passage Dr Canal Winchester OH 43110-8397 |
| Practice Telephone | 6148867004 |
| Mailing Telephone | 6148867004 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1316446453 | Angela Evonne Jackson | Massage Therapist | 12336 Shady Spring Way, Orlando, FL 32828-9172 | 2018-02-05 |
| 1972029858 | Angela Jackson | Adult Companion | 2469 E Dublin Granville Rd #298155, Columbus, OH 43229 | 2017-08-22 |
| 1194267476 | Angela Decarla Jackson | Counselor | 900 S Clark St Apt 2213, Chicago, IL 60605-3708 | 2016-11-17 |
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1609231000 | Angela Jackson | Specialist | 1110 N 47th St, Kansas City, KS 66102-1702 | 2015-12-29 |
| 1215329032 | Angela Yvette Jackson | Psychologist | 185 N Pearl Lake Cswy, #106, Altamonte Springs, FL 32714-2956 | 2015-03-03 |
| 1043636343 | Angela Jackson | Licensed Practical Nurse | 13 Slate Creek Dr Apt 5, Cheektowaga, NY 14227-2947 | 2014-03-11 |
| 1659619328 | Angela Wendy Jackson | Registered Nurse | 8299 Cambridge St, 1602, Houston, TX 77054-3170 | 2013-01-30 |
| 1952695652 | Angela Michelle Jackson | Counselor | 2501 Hunters Hill Dr, Apt. 721, Enid, OK 73703-2311 | 2011-05-31 |
| Street Address |
5528 MEADOW PASSAGE DR |
| City | CANAL WINCHESTER |
| State | OH |
| Zip Code | 43110-8397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880219 | Edina Kaswoswe | Licensed Practical Nurse | 8928 Shady Woods Street, Canal Winchester, OH 43110 | 2017-09-27 |
| 1396268686 | Pristine Home Health Care LLC | Registered Nurse | 5571 Lehman Meadows Dr, Canal Winchester, OH 43110 | 2017-07-19 |
| 1982155313 | Dreama Boon | Home Health Aide | 5838 Canal Bridge Dr, Canal Winchester, OH 43110 | 2016-10-20 |
| 1356700736 | Kimberly Saunders | Social Worker | 4106 Coble Bowman Way, Canal Winchester, OH 43110 | 2016-02-15 |
| 1003207184 | Hearts In The Home | Home Health | 20 Fairfield Street, Canal Winchester, OH 43110 | 2015-02-11 |
| 1548660236 | Ashley Milligan | Specialist/Technologist | 4420 Sitterly Rd, Canal Winchester, OH 43110 | 2014-08-29 |
| 1215294442 | Francine E Ela | Registered Nurse | 7083 Weurful Drive, Canal Winchester, OH 43110 | 2012-04-12 |
| 1205102860 | Jonquil Natasha Currie | Licensed Practical Nurse | 3944 Blueglade Dr, Canal Winchester, OH 43110 | 2012-03-28 |
| 1942575543 | On Point Home Health Agency | Home Health | 4301 Bowman Park Ln, Canal Winchester, OH 43110 | 2012-03-14 |
| 1669769808 | Michelle Lynn Mayfield | Licensed Practical Nurse | 7441 Ida Way, Canal Winchester, OH 43110 | 2011-07-08 |
| Find all providers in zip 43110 | ||||
| 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 |
|---|---|---|---|---|
| 1134537814 | Carla Levonne Baldwin | Technician | 3516 Ashton Cross, Canal Winchester, OH 43110-9005 | 2014-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518703 | Matthew Gaylor | Technician | 6 Coral Cir, Belpre, OH 45714-1553 | 2020-11-08 |
| 1245831916 | Nicole Bosworth | Technician | 5718 Rousseau Dr, Huber Heights, OH 45424-4329 | 2020-11-08 |
| 1104427863 | Amanda Jo Simulcik | Technician | 3933 Courtyard Dr, Lorain, OH 44053-4431 | 2020-11-07 |
| 1386245025 | Virginia A Patton | Technician | 40560 Burlingham Rd Bsmt, Shade, OH 45776-9556 | 2020-11-07 |
| 1487255261 | Lori Danielle Hann | Technician | 361 York Ave, Delaware, OH 43015-1578 | 2020-11-06 |
| 1346841137 | Jamison Ward Howell | Technician | 300 W Cross St, Morristown, OH 43759-0134 | 2020-11-06 |
| 1154922078 | Shannon Sebring | Technician | 16837 Highland Ave, Caldwell, OH 43724-9655 | 2020-11-06 |
| 1093316002 | William Patrick Gay | Technician | 134 Smith St, Portsmouth, OH 45662-8766 | 2020-11-05 |
| 1780285684 | Brenda Mcallister | Technician | 10089 High St, Rarden, OH 45671-9047 | 2020-11-05 |
| 1780285742 | Ivan William Miller Jr. | Technician | 241 Silvercrest Dr, Lexington, OH 44904-9364 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | CANAL WINCHESTER |
| Zip Code | 43110 |
Please comment or provide details below to improve the information on ANGELA P JACKSON.
| 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.