BEATRICE JACKSON (NPI# 1669877460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669877460 |
| Entity Type | Individual |
| Full Name | BEATRICE JACKSON |
| Practice Address |
14100 Bardwell Avenue East Cleveland OH 44112 |
| Practice Telephone | 2162121727 |
| Mailing Telephone | 2162121727 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 2998083 | OH | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2998083 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649768672 | Beatrice Kasey Jackson | Behavior Technician | 1411 S Socorro St, Deming, NM 88030 | 2018-04-25 |
| 1306317540 | Beatrice Latricia Jackson | Behavior Technician | 5300 Lennox Ave Ste 100, Bakersfield, CA 93309-1662 | 2018-12-16 |
| 1356825954 | Beatrice Jackson | Counselor | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2018-09-19 |
| Street Address |
14100 BARDWELL AVENUE |
| City | EAST CLEVELAND |
| State | OH |
| Zip Code | 44112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
| 1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
| 1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
| 1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
| 1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
| Find all providers in zip 44112 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262968 | Akasha Transportation LLC | Non-emergency Medical Transport (VAN) | 14419 Elderwood Ave, East Cleveland, OH 44112-3730 | 2019-09-03 |
| 1144728825 | Tobi Transportation | Non-emergency Medical Transport (VAN) | 14100 Bardwell Ave, East Cleveland, OH 44112-3704 | 2018-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386845 | Tijauna Smith | Non-emergency Medical Transport (VAN) | 962 Morningstar Dr, Akron, OH 44307-2208 | 2020-11-05 |
| 1437750429 | Ohio Cares Medical Transportation | Non-emergency Medical Transport (VAN) | 1230 Gabrielle Elaine Dr Apt 303, Columbus, OH 43228-8849 | 2020-11-05 |
| 1023619111 | Madison L Thompson | Non-emergency Medical Transport (VAN) | 2831 E Glenn St, Toledo, OH 43613-1138 | 2020-11-04 |
| 1043811284 | Patricia Baxter Mclaughlin | Non-emergency Medical Transport (VAN) | 466 Rockwood Cir, Peninsula, OH 44264-9537 | 2020-11-04 |
| 1467053710 | Shamika A Gordon | Non-emergency Medical Transport (VAN) | 1074 Valdes Ave, Akron, OH 44320-2636 | 2020-11-03 |
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1144820713 | Andrew Taylor | Non-emergency Medical Transport (VAN) | 108 Old Colony Dr, Delaware, OH 43015-6502 | 2020-10-31 |
| 1801496617 | Robert Floyd Sams | Non-emergency Medical Transport (VAN) | 1148 Monteray Dr, Akron, OH 44305-1770 | 2020-10-30 |
| 1609476936 | Crystal Cleveland | Non-emergency Medical Transport (VAN) | 898 Township Road 210, Marengo, OH 43334-9623 | 2020-10-27 |
| 1508465006 | Katharine Ware | Non-emergency Medical Transport (VAN) | 10029 Pleasant Lake Blvd Apt P-16, Parma, OH 44130-7549 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST CLEVELAND |
| Zip Code | 44112 |
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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.