JASMINE E JACKSON (NPI# 1821613571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821613571 |
| Entity Type | Individual |
| Full Name | JASMINE E JACKSON |
| Practice Address |
3165 Overton Crossing St Memphis TN 38127-6522 |
| Mailing Address |
Po Box 27473 Memphis TN 38167-0473 |
| Practice Telephone | 9013370672 |
| Practice Fax Number | 9013893716 |
| Mailing Telephone | 9013370672 |
| Mailing Fax Number | 9013893716 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902220569 | Jasmine Jackson | Counselor | 901 Us Highway 68 Ste 900, Maysville, KY 41056-9190 | 2014-02-18 |
| 1922358738 | Jasmine L Jackson | Rehabilitation Practitioner | 1385 European Dr, Henderson, NV 89052-4021 | 2012-09-19 |
| 1912133398 | Jasmine Nicole Jackson | Licensed Practical Nurse | 1730 Kensington Dr, Dayton, OH 45406-3912 | 2009-05-30 |
| 1952576753 | Jasmine Jackson | Chiropractor | 1105 N Dutton Ave, Suite D, Santa Rosa, CA 95401-4682 | 2008-04-23 |
| 1578112496 | Jasmine Shanae Jackson | Nurse Practitioner | 3400 S Crater Rd Ste B, Petersburg, VA 23805 | 2019-09-04 |
| 1376019414 | Jasmine Deloris Jackson | Counselor | 1902 2nd Ave, Seattle, WA 98101-1155 | 2018-10-16 |
| 1902399785 | Jasmine Keara Jackson | Counselor | 2800 Youree Dr Ste 482, Shreveport, LA 71104-3666 | 2018-06-07 |
| 1154869048 | Jasmine Gabrielle Jackson | Physical Therapist | 4321 Hartwick Rd Ste 101, College Park, MD 20740-3201 | 2017-02-10 |
| 1912443367 | Jasmine Marie Jackson | Case Manager/Care Coordinator | 601 W 26th St Rm 522, New York, NY 10001-1137 | 2017-01-10 |
| 1336500255 | Jasmine Jackson | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2016-03-20 |
| Street Address |
3165 OVERTON CROSSING ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-6522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285294306 | Kiarad Enterprises Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3994 Edenburg Dr, Memphis, TN 38127-4112 | 2019-06-20 |
| 1982130878 | Bt&t Residential Healthcare | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6126 Gray Oak Ave, Memphis, TN 38115-2710 | 2017-05-11 |
| 1528577962 | Contemporary Community Solutions | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1661 International Place Dr Ste 400, Memphis, TN 38120-1431 | 2017-09-28 |
| 1316317407 | Rha Health Services Tn, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5050 Poplar Ave, Suite 710, Memphis, TN 38157-0101 | 2015-10-01 |
| 1598042962 | Freedom Co-op | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1633 Madison Ave, Memphis, TN 38104-2506 | 2011-11-13 |
| 1154519981 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3634 Austin Peay Hwy, Suite 100, Memphis, TN 38128-3798 | 2007-10-05 |
| 1063530442 | Evergreen Presbyterian Ministries of West Tn | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5154 Stage Rd, Suite 100, Memphis, TN 38134-3118 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1780208116 | Indya Daniels | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 262 Carriage House Dr, Jackson, TN 38305-2228 | 2020-06-01 |
| 1841830387 | Charis | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 | 2020-01-13 |
| 1447891171 | Hamelmal S Admassie | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 880 Pin Oak Dr, Antioch, TN 37013-1532 | 2019-10-03 |
| 1467910992 | Milestone Home Healthcare Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1037 Jefferson St Ste G, Nashville, TN 37208-2554 | 2019-03-04 |
| 1255897831 | Salim Homes Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Deerfield Dr, Nashville, TN 37208-1225 | 2019-02-19 |
| 1407324411 | Abundant Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 | 2018-11-07 |
| 1558837104 | Vicki Mckissick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 | 2018-10-22 |
| 1699260273 | Quality Support Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2201 Murfreesboro Pike Ste D202, Nashville, TN 37217-3556 | 2018-06-26 |
| 1962910414 | Rochelle Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Southside Ct, Nashville, TN 37203-4762 | 2018-01-18 |
| 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.