JACKIE ROSS (NPI# 1902403447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902403447 |
| Entity Type | Individual |
| Full Name | JACKIE ROSS |
| Practice Address |
2006 E Center St Kingsport TN 37664-2615 |
| Practice Telephone | 4232887969 |
| Mailing Telephone | 4232887969 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | L000000026045 | TN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699892703 | Jackie Ross | Physical Therapist | 6738 108th St, C51, Forest Hills, NY 11375-2355 | 2007-03-23 |
| 1144309881 | Jackie Ross | Nurse Practitioner | 500 Old River Rd Ste 155, Bakersfield, CA 93311-9509 | 2006-11-03 |
| Street Address |
2006 E CENTER ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37664-2615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386241800 | Melinda Ruth Hite | In Home Supportive Care | 2006 E Center St, Kingsport, TN 37664-2615 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1861966525 | Catherine Ann Hensley | Nurse Practitioner | 2995 Fort Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-16 |
| 1679076954 | Christopher A Hillman | Dentist | 1599 Fort Henry Dr Ste 102, Kingsport, TN 37664 | 2018-03-13 |
| 1154666733 | Cristin Patterson | Counselor | 2762 East Center St., Kingsport, TN 37664 | 2012-12-07 |
| 1972851095 | Kevin Michael Smith | Pharmacist | 1425 East Center Street, Kingsport, TN 37664 | 2012-08-21 |
| 1619299617 | Kelli Lynn Dillon | Counselor | 1570 Waverly Rorad, Kingsport, TN 37664 | 2010-02-18 |
| 1356503726 | Charles Craig Stieler | Hearing Instrument Specialist | 2101 Ft Henry Dr, Kingsport, TN 37664 | 2008-06-27 |
| 1104012319 | Pro Balance LLC | Prosthetic/Orthotic Supplier | 2408 Fort Henry Drive, Kingsport, TN 37664 | 2007-09-20 |
| 1518188648 | Remington House | Assisted Living Facility | 640 Rock Springs Road, Kingsport, TN 37664 | 2007-05-02 |
| 1689795007 | Elaine Frazier | Emergency Medicine | 410 Golf Ridge Dr, Kingsport, TN 37664 | 2007-04-03 |
| Find all providers in zip 37664 | ||||
| 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 |
|---|---|---|---|---|
| 1386241800 | Melinda Ruth Hite | In Home Supportive Care | 2006 E Center St, Kingsport, TN 37664-2615 | 2020-10-07 |
| 1275915910 | Lovinginhomecareinc | In Home Supportive Care | 134 Commerce St, Kingsport, TN 37660-4316 | 2015-06-18 |
| 1366841348 | Bambino Inc Dba Comfort Keepers | In Home Supportive Care | 1134 Moreland Dr Ste A, Kingsport, TN 37664-6206 | 2014-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1376142083 | Unique Styles Home Healthcare Services,llc | In Home Supportive Care | 1304 Wilson Rd Ste 101, Knoxville, TN 37912-5693 | 2020-10-23 |
| 1841899531 | Basho75 LLC | In Home Supportive Care | 231 Public Sq Ste 300, Franklin, TN 37064-2552 | 2020-10-22 |
| 1558969279 | Midsouth Senior Living Inc. | In Home Supportive Care | 3594 Crestwyn Dr, Germantown, TN 38138-8525 | 2020-10-14 |
| 1922606706 | Trinette Jackson | In Home Supportive Care | 905 Woodlawn St, Memphis, TN 38107-2531 | 2020-10-13 |
| 1093312795 | B2z Care Services LLC | In Home Supportive Care | 158 Shiaway Ct, Nashville, TN 37217-2528 | 2020-10-06 |
| 1578177184 | Home Health Professional Network Inc. | In Home Supportive Care | 462 Avery Way Apt 6101, Knoxville, TN 37922-4430 | 2020-09-01 |
| 1013520048 | Nashville Tn Caregiving LLC | In Home Supportive Care | 4004 Hillsboro Pike Ste B238, Nashville, TN 37215-2732 | 2020-08-28 |
| 1124631833 | Jeb Foundation: Advocates for The Elderly | In Home Supportive Care | 1306 E Watauga Ave, Johnson City, TN 37601-3549 | 2020-08-24 |
| 1043822554 | An Act of Love Home Care LLC | In Home Supportive Care | 934 Hammack Dr, Nashville, TN 37214-4347 | 2020-08-18 |
| 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.