SHIRLEY JACKSON


Address: 2151 Rush Blvd, Youngstown, OH 44507-1535
Phone: 3307441181

SHIRLEY JACKSON (NPI# 1558806687) 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) 1558806687
Entity Type Individual
Full Name SHIRLEY JACKSON
Practice Address 2151 Rush Blvd
Youngstown
OH 44507-1535
Practice Telephone 3307441181
Practice Fax Number 3307463353
Mailing Telephone 3307441181
Mailing Fax Number 3307463353
Enumeration Date 2016-12-28
Last Update Date 2016-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility RN218146 OH Residential Treatment Facilities

Other Providers SHIRLEY JACKSON

NPI Name Taxonomy Address Enumeration
1073915559 Shirley Jackson Occupational Therapy Assistant 170 Village Court, Martinsville, VA 24112 2014-09-16
1538218292 Shirley Jean Jackson Registered Nurse 21 North Atwood Ave, Janesville, WI 53648 2007-01-10
1790343507 Shirley Jackson Counselor 245 11th St, San Francisco, CA 94103-3732 2019-06-05
1144689936 Shirley Jackson Licensed Vocational Nurse 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 2016-02-22
1982943486 Shirley Jackson Registered Nurse 7600 Geogia Ave, Suite 323, Washington, DC 20012 2013-02-05
1396926499 Shirley Jackson Counselor 3625 14th St, Riverside, CA 92501-3815 2007-11-16
1407947484 Shirley A Jackson Counselor 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2006-09-27

Office Location

Street Address 2151 RUSH BLVD
City YOUNGSTOWN
State OH
Zip Code 44507-1535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111406 Youngstown Committee On Alcoholism Clinic/Center 2151 Rush Blvd, Youngstown, OH 44507-1535 2005-08-15
1619582376 Shaqualah Renee Johnson Substance Abuse Rehabilitation Facility 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-09-10
1972115012 Sara Beth Phlieger Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-08-19
1154946465 Candace Janae Bryant Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-06-11
1649814336 Keiasia Love Registered Nurse 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-11-05
1831732643 Chaunice Taylor Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-10-24
1376185603 Steven Morales Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-10-08
1285283069 Erica Rybak Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-09-05
1053966697 Stacey Fleming Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-08-08
1750934642 Melissa Boyle Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-07-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114406451 Ashley L Moody Home Health Aide 3330 Hillman St, Youngstown, OH 44507 2018-08-08
1184142432 Felicia Briggs Counselor 2151 Rush Blvd., Youngstown, OH 44507 2017-09-07
1558881474 Pamela Lynn Wargo Substance Abuse Rehabilitation Facility 2151 Rush Boulevard, Youngstown, OH 44507 2017-06-21
1235677592 Jocelyn Wilson Residential Treatment Facility, Emotionally Disturbed Children 182 Midlothian Ave, Youngstown, OH 44507 2017-02-07
1306218771 Horizon Science Academy Youngstown Local Education Agency (LEA) 3403 Southern Blvd, Youngstown, OH 44507 2015-10-26
1780890400 Sandra Kaye Stroughter Home Health Aide 3531 Hillman St., Apt 221, Youngstown, OH 44507 2007-05-16
1215158217 Jessie Martin Licensed Practical Nurse 29 E. Philadelphia, Youngstown, OH 44507 2007-05-01
1003847930 Daniel Raymond Armeni Dentist 242 E Midlothian Blvd, Youngstown, OH 44507 2006-07-06
1740251131 Rebecca S Hughes Registered Nurse 77 E Midlothian Blvd, Youngstown, OH 44507 2006-02-01
1184288292 Safe Ride A&s Transportation Non-emergency Medical Transport (VAN) 3330 Hillman St, Youngstown, OH 44507 2019-04-24
Find all providers in zip 44507

Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366912933 Valor Recovery Center Substance Abuse Rehabilitation Facility 45 North Canfield Niles Road, Youngstown, OH 44505 2018-11-27
1558881474 Pamela Lynn Wargo Substance Abuse Rehabilitation Facility 2151 Rush Boulevard, Youngstown, OH 44507 2017-06-21
1104246859 Conscious Living for Better Living Substance Abuse Rehabilitation Facility 3713 Castle Ct, Youngstown, OH 44511-2979 2014-04-21
1528074366 Addiction Programs of Mahoning County, Inc. Substance Abuse Rehabilitation Facility 2516 Market St, Youngstown, OH 44507-1421 2006-08-01
1023084910 Lincoln Behavioral Healthcare, LLC Substance Abuse Rehabilitation Facility 800 E Indianola Ave, Youngstown, OH 44502-2310 2006-02-28
1619582376 Shaqualah Renee Johnson Substance Abuse Rehabilitation Facility 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-09-10
1124589759 H O P E Counseling and Addiction Services LLC Substance Abuse Rehabilitation Facility 1319 Florencedale Ave, Youngstown, OH 44505-2719 2019-03-27
1659853612 Youngstown Committee On Alcoholism, Inc. Substance Abuse Rehabilitation Facility 1044 Belmont Ave, Youngstown, OH 44504-1006 2018-09-05
1720595622 Janet Rose Jackson Substance Abuse Rehabilitation Facility 2151 Rush Blvd, Youngstown, OH 44507-1535 2018-01-02
1801324785 Gloria Ann Wells Substance Abuse Rehabilitation Facility 2151 Rush Blvd, Youngstown, OH 44507-1535 2017-05-23
Find all providers in YOUNGSTOWN

Competitor

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City YOUNGSTOWN
Zip Code 44507

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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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