SHAUNA JACKSON (NPI# 1063888907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063888907 |
Entity Type | Individual |
Full Name | SHAUNA JACKSON |
Practice Address |
720 Lakewood St Detroit MI 48215-2945 |
Practice Telephone | 3136568238 |
Mailing Telephone | 3136568238 |
Enumeration Date | 2015-08-14 |
Last Update Date | 2015-08-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 372500000X | Chore Provider | Nursing Service Related Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
1508359076 | Shauna D Jackson | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2018-06-11 |
Street Address |
720 LAKEWOOD ST |
City | DETROIT |
State | MI |
Zip Code | 48215-2945 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073035473 | Creative Empowerment Counseling Services, LLC | Community/Behavioral Health | 214 Manistique, Detroit, MI 48215 | 2017-07-07 |
1801323530 | Tanya Wade | Social Worker | 12800 E Warren, Detroit, MI 48215 | 2017-05-12 |
1992164289 | Juanita Johnson | Counselor | 13336-40 E. Warren Ave, Detroit, MI 48215 | 2016-02-16 |
1629476379 | Northeast Guidance Center | Community/Behavioral Health | 12800 Warren, Detroit, MI 48215 | 2014-12-11 |
1407253412 | Conner Pharmacy LLC | Pharmacy | 4673 Conner Street, Detroit, MI 48215 | 2014-11-20 |
1053734285 | Dawne Robinson | Counselor | 2995 Conner St, Detroit, MI 48215 | 2014-01-23 |
1790065357 | Michelle Miller | Counselor | 2900 Conner, Bldg. A, Detroit, MI 48215 | 2011-08-26 |
1710286836 | Northeast Guidance Center | Community/Behavioral Health | 2900 Conner St, Ste A, Detroit, MI 48215 | 2011-03-16 |
1871892992 | Lisa Nicole Marszalec | Counselor | 12800 East Warren Ave, Detroit, MI 48215 | 2011-03-16 |
1881845014 | Deborah A Caldwell | Nutritionist | 13340 E Warren, Detroit, MI 48215 | 2008-10-07 |
Find all providers in zip 48215 |
Taxonomy Code | 372500000X |
Grouping | Nursing Service Related Providers |
Classification | Chore Provider |
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458742 | Tiffany Griffin | Chore Provider | 11000 W Mcnichols Rd Ste 224, Detroit, MI 48221-2390 | 2020-05-06 |
1437794732 | Kyle M Wright | Chore Provider | 17558 Saint Marys St, Detroit, MI 48235-3173 | 2019-11-10 |
1881238996 | Lakeita Lolita Mapp | Chore Provider | 15873 Robson St, Detroit, MI 48227-2642 | 2019-10-31 |
1659926947 | Michael Jerome Watkins | Chore Provider | 19460 Whitcomb St, Detroit, MI 48235-2059 | 2019-08-05 |
1225695828 | Sharniece Alexis Johnson | Chore Provider | 17355 Kentucky St, Detroit, MI 48221-2406 | 2019-05-20 |
1043874845 | Faizah Brown | Chore Provider | 19379 Plainview Ave, Detroit, MI 48219-2733 | 2019-04-26 |
1093282527 | Charli's Angels Home Healthcare Company | Chore Provider | 14570 Piedmont St, Detroit, MI 48223-2241 | 2018-11-02 |
1003318494 | Byron Jamez Smith Jr. | Chore Provider | 14352 Pierson St, Detroit, MI 48223-2740 | 2018-03-01 |
1346748464 | Tamika Lynn Mallory | Chore Provider | 9916 Coyle St, Detroit, MI 48227-2411 | 2018-01-23 |
1700303138 | Mary Eliza Knox | Chore Provider | 9560 Minock St, Detroit, MI 48228-1678 | 2017-08-25 |
Find all providers in DETROIT |
Please comment or provide details below to improve the information on SHAUNA 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.