JACKIE ODISHOO (NPI# 1962813931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962813931 |
| Entity Type | Individual |
| Full Name | JACKIE ODISHOO |
| Practice Address |
12163 N 87th Dr Peoria AZ 85345-4132 |
| Practice Telephone | 6233268282 |
| Mailing Telephone | 6233268282 |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
12163 N 87TH DR |
| City | PEORIA |
| State | AZ |
| Zip Code | 85345-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568875185 | Royalty Home Care, LLC | Case Management | 12163 N 87th Dr, Peoria, AZ 85345-4132 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215575824 | Maricopa County Special Health Care District | Pharmacy | 8088 W Whitney Dr, Peoria, AZ 85345 | 2019-12-13 |
| 1528604923 | Maricopa County Special Health Care District | Clinic/Center | 8088 West Whitney Dr., Peoria, AZ 85345 | 2019-11-20 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1518341551 | Recovery Innovations, Inc | Respite Care | 11361 N 99th Avenue, Suite 107, Peoria, AZ 85345 | 2015-07-18 |
| 1952655110 | Pmc Pain Management Center Pllc | Clinic/Center | 8914 N.91 Ave, Peoria, AZ 85345 | 2012-11-08 |
| 1831462993 | Mary Kate Burdick | Veterinarian | 9960 N 91st Ave, Peoria, AZ 85345 | 2012-02-20 |
| 1144545120 | Lawrence William Wolfe | Pharmacist | 9043 W. Olive Ave., Fry's Food and Drug, Peoria, AZ 85345 | 2010-04-01 |
| 1306169917 | Katherine Thompson Hinkle | Pharmacist | 7455 West Cactus, Frys Food and Drug, Peoria, AZ 85345 | 2010-03-10 |
| 1033307715 | American Current Care of Arizona Pa | Clinic/Center | 7400 West Olive Avenue, Suite 1, Peoria, AZ 85345 | 2007-10-09 |
| 1184746802 | Assisted Living Concepts Inc | Assisted Living Facility | 10401 North 79th Avenue, Peoria, AZ 85345 | 2007-04-04 |
| Find all providers in zip 85345 | ||||
| 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 |
|---|---|---|---|---|
| 1568924439 | Pearce Solutions, LLC | In Home Supportive Care | 4325 N Sheridan Rd Ste 9, Peoria, IL 61614-5945 | 2019-04-01 |
| 1578057378 | Marigold Home Care LLC | In Home Supportive Care | 8917 N 90th Ave, Peoria, AZ 85345 | 2018-06-15 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1790084655 | Alwayson Healthcare Inc. | In Home Supportive Care | 8671 W. Union Hills Drive, Ste. #500, Peoria, AZ 85382 | 2011-03-17 |
| 1629300496 | Angels Assistance, Inc. | In Home Supportive Care | 6707 N Sheridan Rd Ste B, Peoria, IL 61614-2800 | 2010-02-04 |
| 1164911830 | Hodges Hanei Corporation | In Home Supportive Care | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2018-05-08 |
| 1013436963 | Our Family To Yours Companion & Personal Care Services, LLC | In Home Supportive Care | 16165 N 83rd Ave Ste 223, Peoria, AZ 85382-5818 | 2017-09-12 |
| 1497288005 | Lrf Holdings LLC | In Home Supportive Care | 14050 N 83rd Ave, Suits 290, Peoria, AZ 85381-5638 | 2017-04-10 |
| 1922451665 | Advanced Supported Living Services, LLC | In Home Supportive Care | 20403 N Lake Pleasant Rd, Suite 117-232, Peoria, AZ 85382-9702 | 2016-07-18 |
| 1679876262 | Addus Healthcare, Inc. | In Home Supportive Care | 7501 N University St, Suite 103-105-107, Peoria, IL 61614-1222 | 2010-12-21 |
| Find all providers in PEORIA | ||||
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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.