JANELLA JACKSON (NPI# 1215561865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215561865 |
| Entity Type | Individual |
| Full Name | JANELLA JACKSON |
| Credential | RN |
| Practice Address |
North Myrtle Beach Business Center Suite 115 1019 Hwy 17s North Myrtle Beach SC 29582 |
| Mailing Address |
Nmb Business Center 1019 Hwy 17s Suite 115 North Myrtle Beach SC 29582 |
| Practice Telephone | 8432735022 |
| Practice Fax Number | 8432735022 |
| Mailing Telephone | 8432735022 |
| Mailing Fax Number | 8432735022 |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | ICPH-1221 | SC | Agencies |
| Street Address |
NORTH MYRTLE BEACH BUSINESS CENTER SUITE 115 1019 HWY 17S |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip Code | 29582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1780147504 | Cherry Grove Compounding, LLC | Pharmacy | 1124-2 Sea Mountain Highway, North Myrtle Beach, SC 29582 | 2019-04-09 |
| 1598125437 | Jebediah S Christy-north Myrtle Beach Pllc | Dentist | 1376 Hwy 17 N, North Myrtle Beach, SC 29582 | 2016-03-04 |
| 1972907277 | John Soileau | Veterinarian | 1530 Old Highway 17 N, North Myrtle Beach, SC 29582 | 2014-10-15 |
| 1306248422 | Dental Professionals of Sc, PC | Dentist | 1586 Hwy 17n, North Myrtle Beach, SC 29582 | 2014-09-19 |
| 1477899680 | Jessica Ober | Physical Therapist | 1100 David St., Apt #1208, North Myrtle Beach, SC 29582 | 2012-12-14 |
| 1568711646 | Erin Dixon | Pharmacist | 781 Main Street, North Myrtle Beach, SC 29582 | 2012-09-05 |
| 1972875722 | Medical Comfort Systems | Durable Medical Equipment & Medical Supplies | 1108 Sea Mountain Hwy Ste 3, North Myrtle Beach, SC 29582 | 2012-02-08 |
| 1295023869 | Jenna Lynne Dukes | Pharmacist | 1201 Sea Mountain Hwy, North Myrtle Beach, SC 29582 | 2011-07-18 |
| 1356633036 | Michael Paul Rivers | Chiropractor | 702-5 6th Avenue South, North Myrtle Beach, SC 29582 | 2011-05-12 |
| Find all providers in zip 29582 | ||||
| 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 |
|---|---|---|---|---|
| 1942812656 | J&r Angels Care Services LLC | In Home Supportive Care | North Myrtle Beach Business Center Ste 115 1019 Hwy 17s, North Myrtle Beach, SC 29582 | 2020-08-24 |
| 1184071144 | Home Care of Myrtle Beach | In Home Supportive Care | 1019 Highway 17 S, Suite 121, North Myrtle Beach, SC 29582-3702 | 2016-05-19 |
| 1750788386 | Sandhills Home Care LLC | In Home Supportive Care | 2701 S Ocean Blvd, Unit 1534, North Myrtle Beach, SC 29582-4641 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649195 | Lizzie's Recovery House LLC | In Home Supportive Care | 312 Quiet Creek Rd, Blythewood, SC 29016-7193 | 2020-11-06 |
| 1134729874 | Jjp In-home Care Agency, LLC | In Home Supportive Care | 787 Marsh Wren Trl, Blythewood, SC 29016-7331 | 2020-10-30 |
| 1578163572 | Sincerely Divine Home Care LLC | In Home Supportive Care | 3618 Ashley Phosphate Rd Ste 3, North Charleston, SC 29418-8586 | 2020-10-28 |
| 1336747138 | Angels Helping Hands | In Home Supportive Care | 1640 Ribaut Rd, Apt. 132, Port Royal, SC 29935 | 2020-10-14 |
| 1164020285 | The Denmar Group LLC | In Home Supportive Care | 8720 Windsor Lake Blvd Apt 1022, Columbia, SC 29223-2619 | 2020-10-12 |
| 1467059485 | True Hearts Homecare LLC | In Home Supportive Care | 8 Sycamore Dr Ste E6, Greenville, SC 29607-2966 | 2020-10-02 |
| 1821605510 | Salina Laqueesta Jones | In Home Supportive Care | 1344 Freer St, Charleston, SC 29412-8123 | 2020-09-26 |
| 1710593710 | Emotions Care Services LLC | In Home Supportive Care | 1 Chick Springs Rd Ste I, Greenville, SC 29609-4946 | 2020-09-16 |
| 1104430339 | True Konnections Home Care LLC | In Home Supportive Care | 5 Clusters Ct Ste 112, Columbia, SC 29210-4831 | 2020-09-04 |
| 1417560293 | E&l Colonial LLC | In Home Supportive Care | 1156 Bowman Rd Unit 200, Mt Pleasant, SC 29464-3858 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
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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.