KAMILAH JACKSON (NPI# 1336510692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336510692 |
| Entity Type | Individual |
| Full Name | KAMILAH JACKSON |
| Practice Address |
16 Golf Rd Upper Darby PA 19082-1607 |
| Practice Telephone | 6109245217 |
| Mailing Telephone | 6109245217 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851590822 | Kamilah Jackson | Psychiatry & Neurology | 230 South Frontage Road, New Haven, CT 06519 | 2007-07-11 |
| Street Address |
16 GOLF RD |
| City | UPPER DARBY |
| State | PA |
| Zip Code | 19082-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1881237311 | Upper Darby Community Pharmacy | Pharmacy | 57-59 Long Lane, Upper Darby, PA 19082 | 2019-10-28 |
| 1184106114 | Taking Time To Care | Home Health | 202 Long Lane Lane Fl 1, Upper Darby, PA 19082 | 2018-09-06 |
| 1033600689 | Pillar of Hope Family Home Care Services Corporation | In Home Supportive Care | 7122 Clover Ln, Upper Darby, PA 19082 | 2018-05-18 |
| 1982125613 | Jasmin Rolling | Counselor | 11 N Pennock Avenue, Upper Darby, PA 19082 | 2017-07-03 |
| 1508395930 | Edward Nylander | Behavioral Analyst | 119 Normandy Road, Upper Darby, PA 19082 | 2017-06-08 |
| 1861866063 | Kyera Swint | Counselor | 6930-34 Market Street, Upper Darby, PA 19082 | 2015-11-25 |
| 1720469505 | Monique Scott I | Psychologist | 250 Beverly Blvd Apt B201, Upper Darby, PA 19082 | 2015-06-17 |
| 1093100141 | Ellie Z. Zheng | General Practice | 6787 Market St, Upper Darby, PA 19082 | 2015-04-04 |
| 1134527666 | Noble Medical Care | Internal Medicine | 6760 Market Street, 1st Floor, Upper Darby, PA 19082 | 2014-12-16 |
| Find all providers in zip 19082 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861051724 | Alnetra B Zaroe | Adult Companion | 415 Gilpin Rd, Upper Darby, PA 19082-5107 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079588 | Unique Home Base Care LLC | Adult Companion | 1031 S 60th St Unit C, Philadelphia, PA 19143-2342 | 2020-10-04 |
| 1518571140 | Melissa Jane Dean | Adult Companion | 1607 Packer St, Mckeesport, PA 15132-4939 | 2020-09-01 |
| 1285257998 | Jon Jeffrey Kosor | Adult Companion | 100 Broughton Rd Ste B, Bethel Park, PA 15102-2836 | 2020-05-28 |
| 1326685264 | Abiodun Adetola Fadahunsi | Adult Companion | 510 Brook Run Ter, Gilbertsville, PA 19525-7600 | 2019-12-10 |
| 1134766918 | Creshine Johnson | Adult Companion | 215 Lardner St, Philadelphia, PA 19111-5907 | 2019-11-29 |
| 1043856131 | Naozad Jal Tata | Adult Companion | 221 W High St Ste 1000, Bellefonte, PA 16823-1368 | 2019-11-23 |
| 1437793304 | Joel Adler | Adult Companion | 520 Prescott Rd, Merion Station, PA 19066-1041 | 2019-11-04 |
| 1649811357 | Ruth Njuguna | Adult Companion | 198 Mapleton Dr, Harrisburg, PA 17112-3638 | 2019-10-03 |
| 1194366351 | Diana Pivenshteyn | Adult Companion | 505 Lakeside Park, Southampton, PA 18966-4078 | 2019-09-30 |
| 1710539457 | Xiao Rong Li | Adult Companion | 2900 - 14 Cottman Avenue, Philadelphia, PA 19149 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
| City | UPPER DARBY |
| Zip Code | 19082 |
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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.