ROSE LOUISE JACKSON


Address: 3450 Indiana Ave, Saint Louis, MO 63118-3233
Phone: 3142499765

ROSE LOUISE JACKSON (NPI# 1316122088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316122088
Entity Type Individual
Full Name ROSE LOUISE JACKSON
Practice Address 3450 Indiana Ave
Saint Louis
MO 63118-3233
Practice Telephone 3142499765
Practice Fax Number 3147715063
Mailing Telephone 3142499765
Mailing Fax Number 3147715063
Enumeration Date 2007-12-31
Last Update Date 2008-01-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health CC0657115 MO Agencies

Other Providers ROSE JACKSON

NPI Name Taxonomy Address Enumeration
1235400268 Rose Marie Jackson Counselor 6730 Independence Boulevard, Suite 300, Baytown, TX 77521 2012-01-23
1275742025 Rose Marie Jackson Social Worker 3150 Parker Rd, Florissant, MO 63033-3760 2007-05-21
1699803510 Rose Ann Jackson Licensed Practical Nurse 187 Clinton Ave, Apt B, Kingston, NY 12401-5028 2007-03-01
1699037705 Rose Denise Jackson Case Manager/Care Coordinator 11565 Lone Desert Dr, 11565 Lone Desert Dr, Reno, NV 89506-5566 2012-06-13
1609023902 Rose Anne Jackson Psychologist 631 N College Ave, Bloomington, IN 47404-3871 2008-08-19
1528214418 Rose Jackson Registered Nurse 1035 Cheraw St., Bennettsville, SC 29512-0918 2008-08-12
1528197100 Rose Jackson Counselor 413 Spring St, Chattanooga, TN 37405-3848 2007-03-02

Office Location

Street Address 3450 INDIANA AVE
City SAINT LOUIS
State MO
Zip Code 63118-3233

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1669901450 Stanley Eziukwu Student in an Organized Health Care Education/Training Program 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 2017-06-06
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265033468 Annette Presley Home Health 3008 Glade Ave, Saint Louis, MO 63136-1513 2020-11-04
1558962787 Thoughti Inc. Home Health 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 2020-11-04
1700487386 Cwc Ihs, LLC Home Health 2347 Vorhof Dr, Saint Louis, MO 63136-5727 2020-11-02
1154922698 Ericka Nycole Willis Home Health 4031 Dryden Ave, Saint Louis, MO 63115-2444 2020-11-02
1275133837 Delicate Care, LLC Home Health 523 Coppinger Dr, Saint Louis, MO 63135-2111 2020-10-31
1629678818 Modern Day Home Health Care Home Health 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 2020-10-28
1295334407 Time of Serenity, LLC Home Health 5842 Macklind Ave, Saint Louis, MO 63109-3569 2020-10-19
1073112280 Love Is Key Consumer Direct Services LLC Home Health 4261 W Garfield Ave, Saint Louis, MO 63113-2643 2020-10-19
1821696568 Steady Hand Home Health Care Home Health 2014 Nemnich Rd Apt 6, Saint Louis, MO 63136-2948 2020-10-14
1730786633 Hand of Hearts, LLC Home Health 1388 Union Blvd, Saint Louis, MO 63113-1325 2020-10-04
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Competitor

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City SAINT LOUIS
Zip Code 63118

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Dataset Information

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.

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