MS. ELYSA ERIN JACKSON (NPI# 1710586706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710586706 |
| Entity Type | Individual |
| Full Name | MS. ELYSA ERIN JACKSON |
| Practice Address |
17920 Huffmeister Rd Ste 250 Cypress TX 77429-4284 |
| Mailing Address |
15410 Pattington Cypress Dr Cypress TX 77433-4792 |
| Practice Telephone | 2819045416 |
| Mailing Telephone | 2819045416 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | TX | Agencies |
| Street Address |
17920 HUFFMEISTER RD STE 250 |
| City | CYPRESS |
| State | TX |
| Zip Code | 77429-4284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902460058 | Alison M Lampton | Counselor | 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424757 | Jesus Ramon Jasso Jr. | Counselor | 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 | 2020-07-08 |
| 1659911196 | Ffarzamllc | Dentist | 12430 Grant Road, Suite C, Cypress, TX 77429 | 2020-01-13 |
| 1467094136 | Bud Norita | Technician | 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 | 2019-10-14 |
| 1710529938 | Cypress Pediatric Occupational Therapy | Occupational Therapist | 12916 Malcomson Rd, Cypress, TX 77429 | 2019-10-09 |
| 1295295699 | Ana Paula Mendez | Nurse Practitioner | 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 | 2019-03-21 |
| 1952860371 | Andre Austin | Behavior Technician | 12110 Huffmeister, Cypress, TX 77429 | 2019-03-15 |
| 1598224917 | Tania Nguyen | Behavior Technician | 12110 Huffmeister Rd, Cypress, TX 77429 | 2019-03-15 |
| 1265903330 | Cypress Rosehill Family Dentistry, Pllc | Dentist | 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 | 2018-12-16 |
| 1124597661 | Gordon Agawereh | Nurse Practitioner | 25801 Us-290, Cypress, TX 77429 | 2018-11-14 |
| 1669957619 | Nwh Rehab LLC | Skilled Nursing Facility | 13600 Birdcall Lane, Cypress, TX 77429 | 2018-09-26 |
| Find all providers in zip 77429 | ||||
| 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 |
|---|---|---|---|---|
| 1689286288 | Fidelity Home Health Care Agency LLC | In Home Supportive Care | 20247 Creekdale Bend Dr, Cypress, TX 77433-7475 | 2020-08-17 |
| 1396361721 | Jb's Home Health Agency LLC | In Home Supportive Care | 19850 Haven Cliff Ln, Cypress, TX 77433-4726 | 2020-06-22 |
| 1760004493 | Lark Home Care, LLC | In Home Supportive Care | 12500 Barker Cypress Rd Apt 10307, Cypress, TX 77429-8268 | 2020-05-15 |
| 1861025934 | Leroy Sitton Jr. | In Home Supportive Care | 20302 Rusty Rock Ln, Cypress, TX 77433-6299 | 2020-02-18 |
| 1356906093 | Gina Home Care | In Home Supportive Care | 8891 Watson St Ste 201, Cypress, CA 90630-2260 | 2019-05-08 |
| 1629542477 | Light Heart Homecare LLC | In Home Supportive Care | 20510 Duncan Run Ln, Cypress, TX 77433-8903 | 2019-01-15 |
| 1053896423 | Matthew 25:40 Inc | In Home Supportive Care | 5252 Orange Ave Ste 209, Cypress, CA 90630-2967 | 2018-10-01 |
| 1720571516 | Smw Global Enterprises, LLC | In Home Supportive Care | 7202 Barker Cypress Rd Apt 2207, Cypress, TX 77433-2918 | 2018-06-07 |
| 1083112726 | Vistar Group LLC | In Home Supportive Care | 20319 Rusty Rock Ln, Cypress, TX 77433-6300 | 2018-01-29 |
| 1831600303 | Care/kter LLC | In Home Supportive Care | 17815 Pecan Bayou Ln, Cypress, TX 77433-4477 | 2017-10-23 |
| Find all providers in CYPRESS | ||||
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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.