MS. TILLINA ANN JACKSON (NPI# 1316458714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316458714 |
| Entity Type | Individual |
| Full Name | MS. TILLINA ANN JACKSON |
| Practice Address |
5389 Bonnie Hill Rd Chattahoochee FL 32324-3020 |
| Practice Telephone | 8504913234 |
| Mailing Telephone | 8504913234 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| Street Address |
5389 BONNIE HILL RD |
| City | CHATTAHOOCHEE |
| State | FL |
| Zip Code | 32324-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982197141 | Angelcare With Vision | In Home Supportive Care | 3577 Flat Creek Rd, Chattahoochee, FL 32324 | 2018-06-12 |
| 1043414287 | Barbara Paulk Mcclellan | Pharmacist | 35 Jefferson Street, Buy Rite Drugs, Chattahoochee, FL 32324 | 2007-06-12 |
| 1679784789 | James Michael Healy | Psychologist | 29 Pecan Lane, Chattahoochee, FL 32324 | 2007-05-24 |
| 1649365172 | Frank Douglas Johanson | Internal Medicine | 300 Pecan Lane, Chattahoochee, FL 32324 | 2006-10-03 |
| 1457313066 | Christopher Mark Neely | Occupational Therapy Assistant | 318 West Washington St, Chattahoochee, FL 32324 | 2006-04-06 |
| 1174009021 | Angelcare With A Vision | Clinic/Center | 3577 Flat Creek Rd, Chattahoochee, FL 32324 | 2018-07-13 |
| 1417206343 | Karen Denise Lipford | Nurse Practitioner | 100 Main Street, Chattahoochee, FL 32324 | 2012-09-06 |
| 1528107893 | Jeff Landau | Psychiatry & Neurology | 8 S Main St, Chattahoochee, FL 32324 | 2007-02-05 |
| 1851349450 | Tuong T Nguyen | Family Medicine | 1000 N Main St, Chattahoochee, FL 32324 | 2006-05-05 |
| 1659329258 | Tung Ngoc Pham | Psychiatry & Neurology | 1000 N Main St, Chattahoochee, FL 32324 | 2006-05-05 |
| Find all providers in zip 32324 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215448089 | Tina Rena Brown | Respite Care | 431 E Martin Luther King Jr Blvd, Chattahoochee, FL 32324-2216 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677265 | Queen's Quality Care, LLC | Respite Care | 1173 Ring St, Deltona, FL 32725-3615 | 2020-10-24 |
| 1417561879 | Just Better Homecare LLC | Respite Care | 5114 Holland Ave, Temple Terrace, FL 33617-3552 | 2020-09-03 |
| 1659994499 | All Around Quality Care Corporation | Respite Care | 10935 Whitecap Dr, Riverview, FL 33579-7177 | 2020-05-27 |
| 1366065443 | Positive Health and Wellness | Respite Care | 214 Brazilian Ave Ste 200l, Palm Beach, FL 33480-4676 | 2020-05-22 |
| 1851914493 | Simmons Care Services | Respite Care | 67 Azalea Trl, Havana, FL 32333-5135 | 2020-05-18 |
| 1427683226 | Abuelo Feliz Home 2 LLC | Respite Care | 4535 W Jean St, Tampa, FL 33614-3610 | 2020-03-12 |
| 1225660038 | Angels With Care LLC | Respite Care | 206 Walker Ave Sw, Live Oak, FL 32064-2142 | 2020-02-10 |
| 1750913760 | 2 God B Thy Glory 4 Healing Angels | Respite Care | 5553 #1 Springhill Dr, Orlando, FL 32808 | 2020-02-07 |
| 1487211645 | Adl Familycare Services Inc. | Respite Care | 19063 Sw 135th Ave, Miami, FL 33177-7170 | 2019-05-23 |
| 1710449236 | Misty Terrell Brown Richardson | Respite Care | 2786 Trilby Ave, North Port, FL 34286-4985 | 2019-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CHATTAHOOCHEE |
| Zip Code | 32324 |
Please comment or provide details below to improve the information on MS. TILLINA ANN 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.