MR. MARCUS DIOR JACKSON (NPI# 1124523899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124523899 |
| Entity Type | Individual |
| Full Name | MR. MARCUS DIOR JACKSON |
| Practice Address |
1913 Tremont St Se Washington DC 20020-7604 |
| Practice Telephone | 2022949212 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-03-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767128 | Marcus S Jackson Sr. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5615 Shell Rd, Pensacola, FL 32503-7825 | 2020-07-08 |
| 1811495138 | Marcus Devaughn Jackson | Counselor | 221 Gladys Hodge Rd, Homer, LA 71040-5447 | 2018-02-01 |
| 1770028425 | Marcus Jackson | Counselor | 2313 Almonaster Ave, New Orleans, LA 70117 | 2017-01-04 |
| 1811044845 | Marcus Jackson | Dentist | 8847 Veterans Memorial Blvd Ste B, Metairie, LA 70003-7707 | 2007-01-04 |
| 1548868946 | Marcus Jackson | Pharmacist | 518 Donelson Pike, Nashville, TN 37214-3729 | 2020-10-16 |
| 1063022499 | Marcus K Jackson | Dentist | 521 E Mountain View Ave, Ellensburg, WA 98926-3865 | 2020-07-31 |
| 1992314595 | Marcus Jackson | Case Manager/Care Coordinator | 2880 Central Pkwy, Cincinnati, OH 45225-2302 | 2020-07-29 |
| 1558863076 | Marcus Joseph Jackson | Behavior Technician | 648 Independence Pkwy Ste 300, Chesapeake, VA 23320-5208 | 2018-02-28 |
| 1568821320 | Marcus Jackson | Case Manager/Care Coordinator | 14785 Preston Rd, Suite 550, Dallas, TX 75254-7876 | 2016-02-22 |
| 1720361652 | Marcus Jackson | Psychologist | 320 Princess Ave, North Las Vegas, NV 89030-3809 | 2011-09-27 |
| Street Address |
1913 TREMONT ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578094843 | Business Preparatory Academy Inc | Non-emergency Medical Transport (VAN) | 1913 Tremont St Se, Washington, DC 20020-7604 | 2017-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938445 | Nekia Sharisse Davis | In Home Supportive Care | 933 N St Nw Apt 102, Washington, DC 20001-4248 | 2020-10-01 |
| 1871109165 | Gabrielle Gardner | In Home Supportive Care | 3298 Fort Lincoln Dr Ne, Washington, DC 20018-4341 | 2020-09-22 |
| 1659995819 | Cheryl D Stradford | In Home Supportive Care | 4319 Gorman Ter Se, Washington, DC 20019-4256 | 2020-06-03 |
| 1639708605 | Linda D. Leary | In Home Supportive Care | 6805 Georgia Ave Nw Apt 21, Washington, DC 20012-2665 | 2020-04-02 |
| 1174156236 | Prestige Home and Community Support Inc | In Home Supportive Care | 1418 Good Hope Rd Se, Washington, DC 20020-5615 | 2020-02-18 |
| 1023640380 | Compassionate Healthcare, LLC | In Home Supportive Care | 1025 Conn Ave Nw, Washington, DC 20036-5405 | 2020-02-05 |
| 1821659442 | Walkenhorst Senior Care, LLC | In Home Supportive Care | 1615 Heritage Hills Dr, Washington, MO 63090-4619 | 2019-06-25 |
| 1053972802 | Icare Now, LLC | In Home Supportive Care | 5807 Eads St Ne, Washington, DC 20019-6924 | 2019-06-24 |
| 1447713938 | Barbara A Byrd | In Home Supportive Care | 3028 Pineview Ct Ne, Washington, DC 20018-1618 | 2019-04-11 |
| 1720541105 | Dani Hilliard | In Home Supportive Care | 1900 Minnesota Ave Se Apt 201, Washington, DC 20020-5452 | 2019-04-11 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
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| 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.