MR. RONNIE JEROME JACKSON (NPI# 1821562315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821562315 |
Entity Type | Individual |
Full Name | MR. RONNIE JEROME JACKSON |
Practice Address |
Bhs Hollywood Recovery Center 6838 Sunset Blvd Hollywood CA 90028 |
Mailing Address |
Bhs Home Office 15519 Crenshaw Blvd. Gardena CA 90249 |
Practice Telephone | 3234613161 |
Mailing Telephone | 3106799126 |
Enumeration Date | 2019-01-17 |
Last Update Date | 2019-01-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841799590 | Ronnie Jackson | Counselor | 1428 Peterman Dr Ste A, Alexandria, LA 71301-3461 | 2018-02-08 |
1508229592 | Ronnie Jackson Jr. | Peer Specialist | 909 Alameda St, Norman, OK 73071-5229 | 2016-03-29 |
1174500896 | Ronnie Lee Jackson | Internal Medicine | 100 Northcrest Dr, Springfield, TN 37172-3927 | 2005-12-22 |
Street Address |
BHS HOLLYWOOD RECOVERY CENTER 6838 SUNSET BLVD |
City | HOLLYWOOD |
State | CA |
Zip Code | 90028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
1558993527 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 5500 West Sunset Boulevard, Los Angeles, CA 90028 | 2020-02-07 |
1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
1669961595 | Danielle Arce | Dietitian, Registered | 6721 De Longpre Ave, Los Angeles, CA 90028 | 2018-05-07 |
1982124772 | Yoon Kyung Lee | Pharmacist | 7201 Hollywood Blvd, Los Angeles, CA 90028 | 2017-06-22 |
1982133245 | Julia West | Pharmacist | 6201 Hollywood Blvd #126, Los Angeles, CA 90028 | 2017-06-08 |
1720527971 | Melissa Susac | Marriage & Family Therapist | 1540 Schrader Blvd, Garden Suite 12, Hollywood, CA 90028 | 2017-02-21 |
1023554284 | Arlene Aranda | Social Worker | 1873 Taft Ave, Los Angeles, CA 90028 | 2017-01-12 |
1912304775 | Damon Dodge | Marriage & Family Therapist | 7083 Hollywood Blvd, Los Angeles, CA 90028 | 2014-11-21 |
1538412838 | Lizette Davillier | Social Worker | 1427 N. La Brea Ave., Los Angeles, CA 90028 | 2012-10-24 |
Find all providers in zip 90028 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639715030 | Michelle Jennifer Martinez | Case Manager/Care Coordinator | 6838 Sunset Blvd., Hollywood, CA 90028 | 2019-11-20 |
1841708427 | Lisa Early | Case Manager/Care Coordinator | 24077 John Cameron Way, Hollywood, MD 20636 | 2018-01-17 |
1780002949 | Denise Zimber | Case Manager/Care Coordinator | 4123 Open Way, Hollywood, FL 33026-1154 | 2014-04-03 |
1649614223 | Linda J Cavallo | Case Manager/Care Coordinator | 4000 Hollywood Blvd Ste 566, Hollywood, FL 33021-6751 | 2013-04-25 |
1942548441 | Yudelka Depena | Case Manager/Care Coordinator | 2324 Taylor St, Hollywood, FL 33020-4464 | 2013-01-18 |
1407128689 | Chinyere Woke | Case Manager/Care Coordinator | 200 Oakwood Ln, Suite 100, Hollywood, FL 33020-1929 | 2012-02-02 |
1801414651 | Robnitia Weekley | Case Manager/Care Coordinator | 3911 Hollywood Blvd, Hollywood, FL 33021-6795 | 2020-07-08 |
1659995991 | Ilana B Behar | Case Manager/Care Coordinator | 6838 W Sunset Blvd, Hollywood, CA 90028-7008 | 2020-06-02 |
1942845433 | Andrea Brown | Case Manager/Care Coordinator | 3911 Hollywood Blvd Ste 201, Hollywood, FL 33021-6795 | 2019-11-08 |
1316594260 | Latesha Renee Sims | Case Manager/Care Coordinator | 6838 W Sunset Blvd, Hollywood, CA 90028-7008 | 2019-08-23 |
Find all providers in HOLLYWOOD |
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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.