JACQUELINE JACKSON (NPI# 1366996712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366996712 |
| Entity Type | Individual |
| Full Name | JACQUELINE JACKSON |
| Practice Address |
14 W Main St 320 Thomasville NC 27360-3935 |
| Practice Telephone | 3363133088 |
| Practice Fax Number | 8665058970 |
| Mailing Telephone | 3363133088 |
| Mailing Fax Number | 8665058970 |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2016-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | HC4848 | NC | Nursing Service Related Providers |
| N | 374U00000X | Home Health Aide | HC4848 | NC | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665124 | Jacqueline Jackson | In Home Supportive Care | 108 Dodge Ave, Akron, OH 44302-1218 | 2020-09-26 |
| 1750895926 | Jacqueline Lynn Jackson | In Home Supportive Care | 1842 Murphy St, Shreveport, LA 71103-2919 | 2017-11-27 |
| 1306364757 | Jacqueline Jackson | Technician | 3467 Summit Ct Ne, Washington, DC 20018-1648 | 2017-09-06 |
| 1598918328 | Jacqueline Kay Jackson | Counselor | 201 South Tyler, Dallas, TX 75208 | 2008-10-24 |
| 1639218480 | Jacqueline Mayes Jackson | Social Worker | 2904 Harvest Ln, Albany, GA 31721-4555 | 2007-02-06 |
| 1811952765 | Jacqueline Diane Jackson | Licensed Practical Nurse | 417 Kenyon Ave, Elyria, OH 44035-6413 | 2006-04-20 |
| 1285281808 | Jacqueline Jackson | Behavior Technician | 262 Westfield Rd, Holyoke, MA 01040-1662 | 2019-08-19 |
| 1356821912 | Jacqueline Jackson | Behavior Technician | 9500 Annapolis Rd Ste B2, Lanham, MD 20706-2062 | 2018-08-14 |
| 1720567324 | Jacqueline Jackson | Social Worker | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2018-08-14 |
| 1285127506 | Jacqueline Nichole Jackson | Occupational Therapy Assistant | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2018-06-12 |
| Street Address |
14 W MAIN ST 320 |
| City | THOMASVILLE |
| State | NC |
| Zip Code | 27360-3935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609247634 | Mount Eagle Health Care-thomasville,llc | Home Infusion | 14 W Main St, Suite 203, Thomasville, NC 27360-3935 | 2015-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994309 | Jazmin Arielle Cromartie | Dentist | 1235 Davidson Community College Rd, Thomasville, NC 27360 | 2020-05-28 |
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1801340252 | Hospitality Home Care, Inc | Home Health | 508 National Highway, #320, Thomasville, NC 27360 | 2016-08-14 |
| 1629472568 | East Carolina University School of Dental Medicine-davidson | Dentist | 1235 Dccc Road, Thomasville, NC 27360 | 2014-10-21 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1740511989 | Cornerstone Health Care LLC | Podiatrist | 211 Old Lexington Road, Thomasville, NC 27360 | 2010-01-28 |
| 1760695472 | Susan Hunter Squires | Counselor | 3954 North Nc Hwy 109, Ledford Middle School School Counselor, Thomasville, NC 27360 | 2007-05-08 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in zip 27360 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573294 | Tahesia Mcknight | Adult Companion | 1052 National Hwy, Thomasville, NC 27360-2312 | 2020-09-18 |
| 1043826696 | David Fields | Adult Companion | 1052 National Hwy, Thomasville, NC 27360-2312 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634399 | Amber House Staffing, LLC | Adult Companion | 611 Summit Ave Ste 4, Greensboro, NC 27405-7746 | 2020-09-22 |
| 1528671997 | Antoinette L Williams | Adult Companion | 1727 Pepperwood Way, Leland, NC 28451-9393 | 2020-08-26 |
| 1851937148 | Stevens House of Hope, Inc | Adult Companion | 1002 W Waddell St, Selma, NC 27576-2028 | 2019-11-21 |
| 1831731488 | Emma Rose Van Gilder | Adult Companion | 223 Payne Branch Rd, Blowing Rock, NC 28605-9021 | 2019-10-15 |
| 1902363286 | Tbh Home Healthcare | Adult Companion | 4 Briar Cir Apt D, Fayetteville, NC 28306-4940 | 2019-02-22 |
| 1407326010 | Home Rule LLC | Adult Companion | 25 1st Ave Ne Ste 103, Hickory, NC 28601-6220 | 2018-11-27 |
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1013490382 | Brianna Terial Amaechi | Adult Companion | 5301 Jade Forest Trl, Raleigh, NC 27616-5148 | 2018-09-12 |
| 1578052098 | Felicia Lavern Gore | Adult Companion | 330 Treeacres Circle Nw, Calabash, NC 28467 | 2018-05-10 |
| 1326550377 | Darlene Denise Seabrooks | Adult Companion | 3807 Woodbriar Trl, Charlotte, NC 28205-4967 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | THOMASVILLE |
| Zip Code | 27360 |
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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.