ANITA DIONNE JACKSON (NPI# 1134699481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134699481 |
Entity Type | Individual |
Full Name | ANITA DIONNE JACKSON |
Other Name | ANITA DIONNE JACKSON |
Practice Address |
29 Baltimore Ln Palm Coast FL 32137-8851 |
Practice Telephone | 3862641398 |
Practice Fax Number | 3863035536 |
Mailing Telephone | 3862641398 |
Mailing Fax Number | 3863035536 |
Enumeration Date | 2018-11-29 |
Last Update Date | 2018-11-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | FL | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861059487 | Anita Rikki Jackson | Behavioral Analyst | 14420 W Side Blvd Apt 310, Laurel, MD 20707-6271 | 2019-05-20 |
1699273789 | Anita Ann Jackson | Registered Nurse | 2853 Webb Ave Bronx Ny 10468, Bronx, NY 10468-2154 | 2018-01-24 |
1497285209 | Anita Johnson Jackson | Case Manager/Care Coordinator | 3204 N Ridge Rd, Tallahassee, FL 32305 | 2017-06-14 |
1548594831 | Anita K. Jackson | Chiropractor | 2505 Troy Pike, Versailles, KY 40383-9646 | 2009-09-21 |
1346286010 | Anita Louise Jackson | Otolaryngology | 4315 Ludgate St, Lumberton, NC 28358-2460 | 2006-06-21 |
1851785620 | Anita Denise Jackson | Social Worker | 9315 Telegraph Rd, Redford, MI 48239-1260 | 2015-03-19 |
1992125199 | Anita June Jackson | Registered Nurse | 680 S 4th St, Louisville, KY 40202-2407 | 2014-04-26 |
1366637993 | Anita Irene Jackson | Social Worker | 2311 Loveridge Rd, Pittsburg, CA 94565-5117 | 2007-09-06 |
1679620652 | Anita P Jackson | Counselor | 573 Brookover Ave, Zanesville, OH 43701-2101 | 2007-01-04 |
1063519486 | Anita Cal Jackson | Family Medicine | 44274 George Cushman Ct Ste 212, Temecula, CA 92592-5945 | 2006-09-20 |
Street Address |
29 BALTIMORE LN |
City | PALM COAST |
State | FL |
Zip Code | 32137-8851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
Find all providers in zip 32137 |
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 |
---|---|---|---|---|
1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
1043876592 | Tpm Homemaker & Companion Services | In Home Supportive Care | 4845 Belle Terre Pkwy Ste C11, Palm Coast, FL 32164-8412 | 2019-05-09 |
1982118253 | Latuana Sadiqua Edmeade | In Home Supportive Care | 48 Selma Trl, Palm Coast, FL 32164-5447 | 2017-11-25 |
1043732738 | By Faith Homemaker & Companion Services,inc. | In Home Supportive Care | 22 Princess Luise Ln, Palm Coast, FL 32164-7123 | 2017-07-13 |
1285177808 | Hope Home Service | In Home Supportive Care | 35 Radcliffe Dr, Palm Coast, FL 32164-5008 | 2016-11-30 |
1922410653 | Ricot Etienne | In Home Supportive Care | 33 Roxboro Dr, Palm Coast, FL 32164-6966 | 2014-05-29 |
1326478348 | Alternate Home Care Spec. Inc | In Home Supportive Care | 5 Big Dipper Ln, Palm Coast, FL 32137-9355 | 2013-11-13 |
1649614538 | Visiting Angels | In Home Supportive Care | 185 Cypress Point Pkwy, Palm Coast, FL 32164-8407 | 2013-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
Find all providers with the same taxonomy |
City | PALM COAST |
Zip Code | 32137 |
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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.