JACKSON CARE LLC (NPI# 1083163398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083163398 |
| Entity Type | Organization |
| Organization Name | JACKSON CARE LLC |
| Practice Address |
342 N Water St Suite 600 Milwaukee WI 53202-5514 |
| Practice Telephone | 2145524493 |
| Mailing Telephone | 2145524493 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |
| Authorized Official Name | ACELIA JACKSON (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 2145524493 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
342 N WATER ST SUITE 600 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53202-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144272600 | Terri A Wichgers | Physician Assistant | 342 N Water St, Suite 600, Milwaukee, WI 53202-5514 | 2006-05-16 |
| 1790345387 | Diversity Home Health | Technician | 342 N Water St, Milwaukee, WI 53202-5514 | 2019-06-17 |
| 1730613399 | T Uganda Lawrence | Contractor | 342 N Water St, Suite 617, Milwaukee, WI 53202-5514 | 2017-04-20 |
| 1386183945 | Housecall Healthcare LLC | Registered Nurse | 342 N Water St, Suite 600, Milwaukee, WI 53202-5514 | 2017-02-15 |
| 1093260192 | Kristin Kornelik | Behavioral Analyst | 342 N Water St, 600, Milwaukee, WI 53202-5514 | 2016-08-18 |
| 1922461383 | Building New Pathways, LLC | Home Health | 342 N Water St, Milwaukee, WI 53202-5514 | 2016-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958298 | Melanie Ann Pare | Occupational Therapist | 1414 N. Prospect Ave., Milwaukee, WI 53202 | 2019-12-06 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1619446408 | First Priority Home Care, LLC | Home Health | 342 W. Water Street, Suite 600, Milwaukee, WI 53202 | 2018-11-21 |
| 1346747169 | Creative Counseling of Milwaukee | Counselor | 2266 E Prospect Ave, Suite 304, Milwaukee, WI 53202 | 2018-04-09 |
| 1043692700 | Matthew Weinlander | Psychiatry & Neurology | 827 N Cass St # 9, Milwaukee, WI 53202 | 2015-06-18 |
| 1437572831 | Pathfinder Medical Group | Family Medicine | 216 Milwaukee St, Suite 2d, Milwaukee, WI 53202 | 2014-01-22 |
| 1669819785 | Kate Savage Anzia | Counselor | 2266 North Prospect Avenue, Suite 326, Ravenswood Clinic, Milwaukee, WI 53202 | 2013-05-30 |
| 1164773222 | Rutell Counseling Services, L.L.C. | Counselor | 759 N. Milwaukee St., Suite 600, Milwaukee, WI 53202 | 2012-09-28 |
| 1548563760 | Susan Rose Westergren | Pharmacist | 1400 E. Brady St, Walgreens, Milwaukee, WI 53202 | 2010-12-09 |
| 1174848816 | Brian D Eiche | Emergency Medicine | 111 E. Wisconsin Ave. Ste 2100, Infinity Healthcare, Milwaukee, WI 53202 | 2010-04-06 |
| Find all providers in zip 53202 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
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| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| 1104436401 | Above and Beyond Home Health Care | Home Health | 4608 N 72nd St, Milwaukee, WI 53218-4856 | 2020-08-03 |
| 1780293001 | Cerys Healthcare LLC | Home Health | 3728 N Fratney St Ste 214, Milwaukee, WI 53212-1708 | 2020-07-23 |
| 1881217610 | Tender Care Home Away From Home LLC | Home Health | 8925 W Stark St, Milwaukee, WI 53225-4114 | 2020-05-27 |
| 1184247827 | Kathy Ann Maclin | Home Health | 5321 N Sherman Blvd, Milwaukee, WI 53209-4646 | 2020-05-27 |
| 1235751173 | Alliance Community Services LLC | Home Health | 7255 W Appleton Ave, Milwaukee, WI 53216-1982 | 2020-05-14 |
| Find all providers in MILWAUKEE | ||||
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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.