VANESSA JACKSON (NPI# 1003204678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003204678 |
| Entity Type | Individual |
| Full Name | VANESSA JACKSON |
| Practice Address |
2922 Falcon Ave Far Rockaway NY 11691-1845 |
| Practice Telephone | 3475769654 |
| Mailing Telephone | 3475769654 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
320584 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679172 | Vanessa Michelle Jackson | Counselor | 4220 Monterey Oaks Blvd Ste 320, Austin, TX 78749-1170 | 2018-11-30 |
| 1104200930 | Vanessa Rae Jackson | Nurse Anesthetist, Certified Registered | 721 Ne 82nd Ter, Kansas City, MO 64118-1332 | 2015-07-10 |
| 1063812451 | Vanessa Jackson | Counselor | 4800 Pine St Apt A102, Phila, PA 19143-1749 | 2014-09-04 |
| 1659666782 | Vanessa Jackson | Licensed Practical Nurse | 953 Dewey Ave, Rochester, NY 14613-1640 | 2011-06-16 |
| 1346532223 | Vanessa Jane Jackson | Social Worker | 833 Braddock St Sw, Atlanta, GA 30310-4617 | 2011-05-10 |
| 1376739615 | Vanessa Marie Jackson | Physical Therapist | 11848 Bernardo Plaza Court #100, San Diego, CA 92128 | 2007-09-20 |
| 1235748161 | Vanessa Louise Jackson | Occupational Therapist | 1348 Griffin Mill Rd, Easley, SC 29640-8885 | 2020-07-27 |
| 1376172569 | Vanessa Jackson | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-04-08 |
| 1619390713 | Vanessa L Jackson | Case Manager/Care Coordinator | 35300 Nankin Blvd, Suite 601, Westland, MI 48185-7222 | 2014-01-24 |
| 1487975520 | Vanessa Jackson | Nurse Practitioner | 3700 Cahaba Beach Rd, Birmingham, AL 35242-5225 | 2010-06-11 |
| Street Address |
2922 FALCON AVE |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346840121 | New Haven Manor Home for Adults, LLC | Custodial Care Facility | 1526 New Haven Ave, Far Rockaway, NY 11691-5148 | 2020-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557828 | Kenwood Manor Inc | Custodial Care Facility | 141 Rockefeller Rd, Delmar, NY 12054-2221 | 2020-10-27 |
| 1336748383 | Jjj Yaut, LLC | Custodial Care Facility | 4806 Ny 52, Jeffersonville, NY 12748 | 2020-10-21 |
| 1528683463 | Hanmaum Daycare LLC | Custodial Care Facility | 3238 148th St, Flushing, NY 11354-3259 | 2020-06-16 |
| 1538700158 | Parkview Hfa, Inc. | Custodial Care Facility | 3200 Bronx Blvd, Bronx, NY 10467-6305 | 2019-10-04 |
| 1457903437 | Prime Social Day Care | Custodial Care Facility | 1918 1st Ave 1st Floor, New York, NY 10029 | 2019-07-10 |
| 1477116457 | Caroline S Reuben | Custodial Care Facility | 17108 Jamaica Ave, Jamaica, NY 11432-5428 | 2019-04-16 |
| 1255898979 | Yan K Chan | Custodial Care Facility | 6504 Bay Pkwy, Brooklyn, NY 11204-3931 | 2019-02-28 |
| 1609357284 | Sun Sunshine Adult Daycare Ctr Inc | Custodial Care Facility | 738 58th St, Brooklyn, NY 11220-3917 | 2018-08-22 |
| 1285113548 | The House of Hope | Custodial Care Facility | 31 Standish Rd, Valley Stream, NY 11580-1131 | 2018-08-08 |
| 1083112940 | True Quality Care | Custodial Care Facility | 1616 Chili Ave, Rochester, NY 14624-3246 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.