ALLEN JACKSON (NPI# 1902281645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902281645 |
| Entity Type | Individual |
| Full Name | ALLEN JACKSON |
| Practice Address |
General Delivery Grand Rapids MI 49501-9999 |
| Practice Telephone | 6169545095 |
| Mailing Telephone | 6169545095 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | J250051155983 | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932151479 | Allen Thomas Jackson | Ophthalmology | 1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 | 2006-05-16 |
| 1902866965 | Allen B Jackson | Internal Medicine | 2175 Ashley Phosphate Rd, Suite D, North Charleston, SC 29406-4181 | 2006-03-24 |
| 1083683205 | Allen W. Jackson | Orthopaedic Surgery | 10330 Meridian Ave N, Suite 270, Seattle, WA 98133-9451 | 2006-03-17 |
| 1477544955 | Allen Charles Jackson | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2005-11-02 |
| Street Address |
GENERAL DELIVERY |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49501-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205229853 | Hope Network | Point of Service | 755 36th St. Se, Grand Rapids, MI 49501 | 2015-03-06 |
| 1356615009 | Suzanne M Portillo | Social Worker | 901 Eastern, Grand Rapids, MI 49501 | 2012-02-28 |
| 1023388964 | Jamie Lynn Palma | Case Manager/Care Coordinator | 781 36th St Grand Rapids, Mi 49501-0141, Grand Rapids, MI 49501-0141 | 2012-01-10 |
| 1831477587 | Zachary William Gray | Case Manager/Care Coordinator | 781 36th St., Grand Rapids, MI 49501-0141 | 2011-07-29 |
| 1023318557 | Dawn Marie Macdonald | Case Manager/Care Coordinator | 781 36th Street, Grand Rapids, MI 49501-0141 | 2010-11-01 |
| 1952625626 | Karen Jean Bandstra | Registered Nurse | 765 36th Street, Grand Rapids, MI 49501-0141 | 2010-03-24 |
| 1730415050 | Dawn Kay Carpenter | Social Worker | 781 - 36th St., Se, Hope Network Dcs, Grand Rapids, MI 49501-0141 | 2009-10-21 |
| 1184778409 | Annelise Erdman | Case Manager/Care Coordinator | 781 36th St Se, Grand Rapids, MI 49501-0141 | 2007-01-23 |
| 1821446535 | Sheryl Nelson | Social Worker | 300 68th St Se, Grand Rapids, MI 49501-0165 | 2016-06-03 |
| 1508048331 | Patrick Mugi Kamau | Counselor | 901 Eastern Ave. Ne, Grand Rapids, MI 49501-0294 | 2007-12-04 |
| Find all providers in zip 49501 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992332621 | Nrmi, LLC | Home Health | 769 Seward Ave Nw Ste 101, Grand Rapids, MI 49504-5191 | 2020-03-24 |
| 1972140333 | Northwoods Villa Inc. | Home Health | 1905 W Us Highway 2, Grand Rapids, MN 55744-4738 | 2019-12-04 |
| 1912568239 | Devoted 2u Home Care LLC | Home Health | 1300 Underwood Ave Se, Grand Rapids, MI 49506-3268 | 2019-06-26 |
| 1205397890 | Kiss Ent LLC | Home Health | 2908 Giddings Ave Se, Grand Rapids, MI 49508-1430 | 2019-03-27 |
| 1497210017 | Bella Mente Inc. | Home Health | 114 Brock Ln, Grand Rapids, MN 55744-9211 | 2019-02-07 |
| 1134698848 | Passionate Caregivers LLC | Home Health | 508 Fontenelle St Se, Grand Rapids, MI 49548-7317 | 2018-11-26 |
| 1063920494 | Lmk Home Health Services-llc | Home Health | 3265 Dawes Ave Se, Grand Rapids, MI 49508-1538 | 2018-01-19 |
| 1225547920 | Praying Hands Home Care LLC Thanks | Home Health | 4922 Division Ave S Ste 4, Grand Rapids, MI 49548-4496 | 2017-09-25 |
| 1912421710 | Annie Bethel LLC | Home Health | 625 Kenmoor Ave Se Ste 350, Grand Rapids, MI 49546-2395 | 2017-08-02 |
| 1538612692 | Hands of Praise Home Care | Home Health | 1112 Benjamin Ave Se, Grand Rapids, MI 49506-3225 | 2016-07-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49501 |
Please comment or provide details below to improve the information on ALLEN JACKSON.
| 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.