EVAN JAMES JACKELEN


Address: 3721 Hallie Ln, Eau Claire, WI 54703-1185
Phone: 7155339460

EVAN JAMES JACKELEN (NPI# 1588152896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588152896
Entity Type Individual
Full Name EVAN JAMES JACKELEN
Practice Address 3721 Hallie Ln
Eau Claire
WI 54703-1185
Practice Telephone 7155339460
Mailing Telephone 7155339460
Enumeration Date 2018-04-23
Last Update Date 2018-04-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health Agencies

Office Location

Street Address 3721 HALLIE LN
City EAU CLAIRE
State WI
Zip Code 54703-1185

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114535929 Eclipse Counseling LLC Clinic/Center 1136 Barron St, Eau Claire, WI 54703 2020-07-17
1982261012 Melissa Mae Jenneman Social Worker 306 Broadway Street, Eau Claire, WI 54703 2019-05-23
1396217014 Jennifer Grace Joos Case Manager/Care Coordinator 2523 Diane Ln, Eau Claire, WI 54703 2018-12-19
1811437346 Phillip Dolan Specialist/Technologist 2801 E Princeton Ave, Eau Claire, WI 54703 2017-03-02
1467830463 Ryan Behnke Specialist/Technologist 725 Hudson St., Eau Claire, WI 54703 2015-05-11
1366737769 Eric D. Carlson Dentist 1020 Menomonie Street, Eau Claire, WI 54703 2011-06-14
1669782587 Jennifer Jean Andersen Registered Nurse 2027 West Ridge Dr., Eau Claire, WI 54703 2010-10-13
1407011257 Scott R Lau Hearing Instrument Specialist 1802 Galloway Street, Eau Claire, WI 54703 2008-07-22
1134316615 Robert G Grayson Dentist 2725 Morningside Dr, Eau Claire, WI 54703 2007-09-28
1689880858 Okie Earl Allen Hearing Instrument Specialist 616 Lamplighter Ct, Eau Claire, WI 54703 2007-05-15
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265853998 Hmong Home Health Care, LLC Home Health 2016 Brackett Ave, Eau Claire, WI 54701-4629 2013-12-24
1780921684 Sunshine Care Personal Care Agency Home Health 1101 W Clairemont Ave Ste 1b, Eau Claire, WI 54701-6161 2013-01-11
1821248113 Healthcorps, Inc. Home Health 4316 Oakwood Hills Pkwy Apt 301, Eau Claire, WI 54701-9178 2008-09-24
1437346434 Lifenet, LLC Home Health 800 Wisconsin St Ste 305, Eau Claire, WI 54703-3588 2007-10-03
1467818559 Safe@home LLC Home Health 505 S Dewey St, Ste 106, Eau Claire, WI 54701-3704 2016-01-06
1972752517 Home Instead Senior Care Home Health 515 S Barstow St, Suite 116, Eau Claire, WI 54701-3600 2008-09-18
1609032036 Eau Claire County Dept of Human Services Home Health 721 Oxford Ave, Eau Claire, WI 54703-5212 2008-08-05
1326113952 Lutheran Social Services of Wisconsin and Upper Michigan, Inc. Home Health 1101 W Clairemont Ave, Suite 2g, Eau Claire, WI 54701-4503 2006-11-21
1972521482 Mayo Clinic Health System-northwest Wisconsin Region, Inc. Home Health 200 Spring St, Eau Claire, WI 54703-3469 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386245561 Comfort Care 4 U, LLC Home Health 7701 Mineral Point Rd Ste A, Madison, WI 53717-2027 2020-11-04
1639779754 Wisconsin Independent Living Solutions LLC Home Health 817 Colton St, Waukesha, WI 53186-5126 2020-10-28
1821698341 Jaqualynne Postuchow Home Health 8739 Smith St, Sayner, WI 54560-9696 2020-10-26
1467068767 Lashonda Nicole Simmons Home Health 24th Street, 1812 North, Milwaukee, WI 53205-1410 2020-09-22
1124634332 Nehemiah House, LLC Home Health 3901 N 21st Street, Milwaukee, WI 53206 2020-09-22
1699389593 Infinity Care Services LLC Home Health 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 2020-09-08
1982218426 Homecare Pal, LLC Home Health 2916 Marketplace Dr Ste 209, Fitchburg, WI 53719-5327 2020-09-02
1366053118 Adron Health Care, LLC Home Health 9117 S 20th St, Oak Creek, WI 53154-7465 2020-08-14
1790396521 Faithful Living Home Health Care Agency LLC Home Health 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 2020-08-14
1770194847 Faithful Hands PCa LLC Home Health 8008 W Capitol Dr, Milwaukee, WI 53222-1918 2020-08-12
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City EAU CLAIRE
Zip Code 54703

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Dataset Information

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.

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