CHANEL JACKSON (NPI# 1659815637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659815637 |
| Entity Type | Individual |
| Full Name | CHANEL JACKSON |
| Credential | STNA |
| Practice Address |
93 W Glendale St Bedford OH 44146-3273 |
| Practice Telephone | 2168552969 |
| Mailing Telephone | 2168552969 |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2016-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | 400702651207 | OH | Nursing Service Related Providers |
| N | 376K00000X | Nurse's Aide | 400702651207 | OH | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710409552 | Chanel R Jackson | Technician | 1471 Howard Rd Se, Washington, DC 20020-4493 | 2017-07-13 |
| 1205492279 | Chanel D Jackson | Case Manager/Care Coordinator | 1355 S Hill St, Los Angeles, CA 90015-3012 | 2019-05-15 |
| Street Address |
93 W GLENDALE ST |
| City | BEDFORD |
| State | OH |
| Zip Code | 44146-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861959629 | Donna Stevens | Counselor | 855 Lincoln Blvd, Bedford, OH 44146 | 2019-02-27 |
| 1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
| 1609357276 | Laylah Allen | Community Health Worker | 91 Forest Dr, Bedford, OH 44146 | 2018-08-22 |
| 1427577782 | Katrina Allen | Social Worker | 6118 Eaton Ct., Bedford Hts, OH 44146 | 2017-09-18 |
| 1538686878 | Stephanie Frankel | Registered Nurse | 26364 Bluebird Cove, Bedford, OH 44146 | 2017-08-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1548627987 | Nicolette Walker | Licensed Practical Nurse | 91 Thames Avenue, Bedford, OH 44146 | 2016-01-15 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1659774438 | Chitaqua Jackson | Licensed Practical Nurse | 860 Broadway Ave, Bedford, OH 44146 | 2014-10-07 |
| Find all providers in zip 44146 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871906 | Margaret Jolene Dennes | Home Health Aide | 26 Southwick Dr, Bedford, OH 44146-2625 | 2020-11-03 |
| 1518583798 | Nichole Fuqua | Home Health Aide | 30 Avalon Dr, Bedford, OH 44146-2842 | 2020-06-23 |
| 1568097509 | Willie Bell Hughes | Home Health Aide | 78 Southwick Dr, Bedford, OH 44146-2624 | 2020-03-10 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1609300060 | Carlesha Embrey | Home Health Aide | 6269 Sparrowhawk Way, Bedford, OH 44146 | 2017-04-12 |
| 1295163491 | Aldean Blackwell | Home Health Aide | 25200 Sandhurst Rd, Bedford, OH 44146-3115 | 2013-10-24 |
| 1851658751 | Sandra J Hale | Home Health Aide | 630 Turney Rd, #320, Bedford, OH 44146 | 2012-04-16 |
| 1639707755 | My Guardian LLC. | Home Health Aide | 836 Broadway Ave, Bedford, OH 44146-3676 | 2020-04-01 |
| 1902135338 | Wendy A Howard | Home Health Aide | 1900 River Rd, Bedford, IN 47421 | 2009-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730920 | Dashawn Mcdowell | Home Health Aide | 128 Hawk Ave, Akron, OH 44312-1437 | 2020-11-08 |
| 1730780404 | Lyuba Vitkin | Home Health Aide | 6608 Kingswood Dr, Cleveland, OH 44124-4229 | 2020-11-08 |
| 1245831981 | Raymond Arthur Smith | Home Health Aide | 3338 Stonington Cir, Ravenna, OH 44266-9093 | 2020-11-07 |
| 1336740091 | Deanna Jean Bays | Home Health Aide | 5537 Lake Michigan Dr, Fairfield, OH 45014-3268 | 2020-11-07 |
| 1659972313 | Dorthea Lucas | Home Health Aide | 6396 James Rouse Blvd, Canal Winchester, OH 43110-9675 | 2020-11-07 |
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1588265367 | Melissa Hardesty | Home Health Aide | 269 Raymond Dr, Hubbard, OH 44425-1277 | 2020-11-06 |
| 1598366361 | Kurt Friedl | Home Health Aide | 7264 Bennell Dr, Reynoldsburg, OH 43068-7056 | 2020-11-06 |
| 1962003848 | Jessica John | Home Health Aide | 4065 W 143rd St, Cleveland, OH 44135-1471 | 2020-11-05 |
| 1578164638 | Sheila Marie Smith | Home Health Aide | 567 Treeside Dr, Stow, OH 44224-1111 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.