LESLIE JACKSON (NPI# 1780076745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780076745 |
| Entity Type | Individual |
| Full Name | LESLIE JACKSON |
| Credential | M.A. |
| Practice Address |
18350 Lahser Rd Detroit MI 48219-4326 |
| Practice Telephone | 3137421777 |
| Enumeration Date | 2015-02-28 |
| Last Update Date | 2015-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851325 | Leslie Jackson | Nurse Practitioner | 7106 Spencer Highway, Pasadena, TX 77505 | 2018-11-27 |
| 1952587271 | Leslie Cecilia Jackson | Psychologist | 734 Kenilworth Cir, Stone Mountain, GA 30083-3416 | 2008-01-16 |
| 1649320904 | Leslie K Jackson | Family Medicine | 404 E Main Cross St, Taylorville, IL 62568-2656 | 2007-01-11 |
| 1578171039 | Leslie D'layne Jackson | Social Worker | 43 N Cleveland St, Memphis, TN 38104-2301 | 2020-07-20 |
| 1497398218 | Leslie Denise Jackson | Advanced Practice Midwife | 1001 W Randol Mill Rd, Arlington, TX 76012-2513 | 2019-10-24 |
| 1699261826 | Leslie Aaron Jackson | Chiropractor | 7125 Marvin D Love Fwy Ste 107, Dallas, TX 75237-3111 | 2018-07-11 |
| 1669900239 | Leslie J Jackson | Social Worker | 650 Fulton St, Brooklyn, NY 11217-1517 | 2017-05-26 |
| 1083057152 | Leslie Schaad Jackson | Nurse Practitioner | 10515 Bells Ferry Rd Ste 200, Canton, GA 30114-4204 | 2013-04-09 |
| 1861753048 | Leslie L Jackson | Occupational Therapist | 9501 S King Dr, Dh 132, Chicago, IL 60628-1501 | 2012-06-04 |
| 1639379530 | Leslie Jackson | Case Manager/Care Coordinator | 2689 Sierra Hwy, Rosamond, CA 93560-6053 | 2007-07-19 |
| Street Address |
18350 LAHSER RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316332927 | Betterway Homecare LLC | Home Health | 18350 Lahser Rd, Suite 210, Detroit, MI 48219-4326 | 2015-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1548875578 | Shenise Renee Jones | Home Health Aide | 15433 Auburn St, Detroit, MI 48223-1764 | 2020-09-15 |
| 1487268280 | Shaquisha N Allen | Home Health Aide | 9072 Stahelin Ave, Detroit, MI 48228-1715 | 2020-08-31 |
| 1346853199 | Tamika Burnette | Home Health Aide | 5908 Belvidere St, Detroit, MI 48213-3008 | 2020-08-30 |
| 1780296921 | Quiana Billingslea | Home Health Aide | 15907 Carlisle St, Detroit, MI 48205-1438 | 2020-08-19 |
| 1326658196 | Latasha Clark | Home Health Aide | 9944 Winthrop St, Detroit, MI 48227-1622 | 2020-08-05 |
| 1134747744 | Steven Perry | Home Health Aide | 2039 E 7 Mile Rd, Detroit, MI 48234-1224 | 2020-07-09 |
| 1134741192 | Brooke Martin | Home Health Aide | 18500 Margareta St, Detroit, MI 48219-2932 | 2020-05-13 |
| 1427683473 | Ericka Canty | Home Health Aide | 14465 Fairmount Dr, Detroit, MI 48205-1273 | 2020-03-10 |
| 1336771427 | Wanda R Hutchinson | Home Health Aide | 275 Merton Rd Apt 308, Detroit, MI 48203-2292 | 2020-02-07 |
| Find all providers in DETROIT | ||||
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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.