MRS. TAWANIA JACKSON (NPI# 1780242024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780242024 |
| Entity Type | Individual |
| Full Name | MRS. TAWANIA JACKSON |
| Credential | MSN, BSN, RN, CCM |
| Practice Address |
15604 Brunswick Manor Ct Florissant MO 63034-3471 |
| Practice Telephone | 3149207826 |
| Mailing Telephone | 3149207826 |
| Enumeration Date | 2019-06-02 |
| Last Update Date | 2019-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
15604 BRUNSWICK MANOR CT |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154968600 | Sadie's Caring Hearts | In Home Supportive Care | 15604 Brunswick Manor Ct, Florissant, MO 63034-3471 | 2019-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729015 | Nurturing Family Home Healthcare LLC | In Home Supportive Care | 805 5th Plz, Florissant, MO 63031-1820 | 2020-10-29 |
| 1902410434 | Hope Care LLC | In Home Supportive Care | 3530 Hambletonian Dr, Florissant, MO 63033-3045 | 2020-09-02 |
| 1538778568 | A Caring Touch Home Care LLC | In Home Supportive Care | 3836 Wolcott Ct, Florissant, MO 63034-1024 | 2020-07-27 |
| 1760001655 | Intimate Care LLC | In Home Supportive Care | 4110 7 Hills Dr, Florissant, MO 63033-6708 | 2020-04-11 |
| 1194355156 | Living Healthier Home Healthcare LLC | In Home Supportive Care | 1700 Woodridge Ln Apt B, Florissant, MO 63033-1916 | 2020-01-18 |
| 1649815226 | Gs Health Care Services LLC | In Home Supportive Care | 1115 Garden Village Dr, Florissant, MO 63031-1963 | 2019-11-07 |
| 1154975944 | Annoited Hands Home Care Services | In Home Supportive Care | 25 Elwood Ct, Florissant, MO 63031-6207 | 2019-07-30 |
| 1275187122 | Axus Consumer Directed Services LLC | In Home Supportive Care | 4605 Richmond Forest Dr, Florissant, MO 63034-2848 | 2019-07-29 |
| 1013576453 | Kenneth Charles Hughes | In Home Supportive Care | 1065 Mullanphy Rd, Florissant, MO 63031-3232 | 2019-06-10 |
| 1114586500 | Phases of Care LLC | In Home Supportive Care | 100 Rue Saint Francois St Ste 106, Florissant, MO 63031-5131 | 2019-06-10 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63034 |
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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.