RACHEL M JACKSON (NPI# 1821392648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821392648 |
| Entity Type | Individual |
| Full Name | RACHEL M JACKSON |
| Practice Address |
842 N 17th St Allentown PA 18104-4151 |
| Practice Telephone | 6105040016 |
| Mailing Telephone | 6105040016 |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2011-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794019 | Rachel Jackson | Social Worker | 12410 Roy Rd, Pearland, TX 77581-7988 | 2020-06-11 |
| 1922645142 | Rachel Jackson | Nurse Practitioner | 2502 Side Cv, Austin, TX 78704-4533 | 2019-12-06 |
| 1407365687 | Rachel Jackson | Case Manager/Care Coordinator | 3015 E. Skelly Dr, Suite 103, Tulsa, OK 74105-6344 | 2017-09-20 |
| 1710428826 | Rachel Jackson | Behavior Technician | 3256 Sky View Dr, Box 4323, West Wendover, NV 89883-3659 | 2017-03-09 |
| 1235747999 | Rachel Renee Jackson | Registered Nurse | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2020-07-20 |
| 1023632411 | Rachel Renee Jackson | Behavior Technician | 439 W Harris Ave, San Angelo, TX 76903-6392 | 2020-06-02 |
| 1992266571 | Rachel Jackson | Speech-Language Pathologist | 4700 Massillon Rd, North Canton, OH 44720-1166 | 2019-03-27 |
| 1104392695 | Rachel Ruth Jackson | Physical Therapy Assistant | 3000 Galloway Rdg, Pittsboro, NC 27312-8639 | 2018-10-23 |
| 1023591047 | Rachel M. Jackson | Behavior Technician | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-09-14 |
| 1184100208 | Rachel Jackson | Licensed Vocational Nurse | 10609 W Ih 10 Ste 105, San Antonio, TX 78230-1673 | 2018-07-11 |
| Street Address |
842 N 17TH ST |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18104-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295030872 | Jonna Dawson | Chore Provider | 842 N 17th St, Allentown, PA 18104-4151 | 2011-01-13 |
| 1306141817 | Serenity Home Care Agency | Home Health | 842 N 17th St, Allentown, PA 18104-4151 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
| 1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
| 1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
| 1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
| 1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
| 1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
| 1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
| 1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
| 1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
| 1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
| Find all providers in zip 18104 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.