KIERRA JACKSON (NPI# 1083133946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083133946 |
| Entity Type | Individual |
| Full Name | KIERRA JACKSON |
| Practice Address |
2611 Sierra Drive Apt. F Belleville IL 62221 |
| Mailing Address |
2611 Sierra Dr Apt F Belleville IL 62221-8908 |
| Practice Telephone | (618) 593-7833 |
| Mailing Telephone | 6185937833 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376904458 | Kierra Jackson | Doula | 731 Girard St Nw, Washington, DC 20001-3820 | 2016-03-16 |
| Street Address |
2611 SIERRA DRIVE APT. F |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1114497781 | Kendra D Edwards | Counselor | 900 Royal Height Rd Suite 2150, Belleville, IL 62221 | 2018-11-27 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| 1811969892 | Lesa Renee' Seales | Registered Nurse | 211 S. 3rd St., Belleville, IL 62221 | 2006-02-03 |
| Find all providers in zip 62221 | ||||
| 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 |
|---|---|---|---|---|
| 1063906600 | Someone Special Home Care LLC | In Home Supportive Care | 226 Centreville Ave, Belleville, IL 62220-1948 | 2018-06-18 |
| 1295144434 | Mariapaz Home Care, Inc. | In Home Supportive Care | 1 Jerome Ct, Belleville, NJ 07109-1652 | 2014-08-12 |
| 1518196146 | Millennium Home Care Services | In Home Supportive Care | 7493 Kirkridge St, Belleville, MI 48111-1615 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346508 | Bec Personal Care, LLC | In Home Supportive Care | 3513 Sundance Dr, Springfield, IL 62711-6719 | 2020-11-04 |
| 1083213813 | Universum Care LLC | In Home Supportive Care | 4652 N Orange Ave, Norridge, IL 60706-4408 | 2020-10-22 |
| 1699373225 | Senior Ally, Inc. | In Home Supportive Care | 600 Holiday Plaza Dr Ste 177, Matteson, IL 60443-2236 | 2020-10-15 |
| 1083212849 | Ashley Marshall | In Home Supportive Care | 11130 S Longwood Dr Apt 3, Chicago, IL 60643-4049 | 2020-10-14 |
| 1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
| 1740887413 | Daka M Corp. | In Home Supportive Care | 1132 Russetwood Ct, Wheeling, IL 60090-5598 | 2020-10-06 |
| 1861008401 | New Hirez Solutions Inc. | In Home Supportive Care | 4229 Main St, Downers Grove, IL 60515-2139 | 2020-09-18 |
| 1528673951 | Tchatchouas Healthcare Solutions | In Home Supportive Care | 141 Indiana St, Park Forest, IL 60466-1078 | 2020-09-11 |
| 1699389478 | Ziing Home Health Co. | In Home Supportive Care | 1045 Aspen St, Hoffman Estates, IL 60169-4447 | 2020-08-31 |
| 1841803558 | Citycare Services Inc | In Home Supportive Care | 402 Mozart Ct, Wheaton, IL 60189-2056 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.