JAQUOYA JACKSON (NPI# 1861028136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861028136 |
| Entity Type | Individual |
| Full Name | JAQUOYA JACKSON |
| Practice Address |
934 E Ruth Ave Flint MI 48505-2288 |
| Practice Telephone | 8104238808 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
934 E RUTH AVE |
| City | FLINT |
| State | MI |
| Zip Code | 48505-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912402629 | New Seasons Adult Services, LLC | Clinic/Center | 1035 E. Carpenter Road, Flint, MI 48505 | 2018-03-26 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1912424193 | Courtney Reed | Behavior Technician | 4121 M L King Ave, Flint, MI 48505 | 2017-08-28 |
| 1871042960 | Patricia Giltrop | Dental Hygienist | 5399 N. Saginaw Street, Flint, MI 48505 | 2016-09-29 |
| 1265886048 | New Jerusalem Enterprise Inc | Custodial Care Facility | 1015 E. Carpenter Road, Flint, MI 48505 | 2016-04-19 |
| 1699185918 | Cynthia Bolden-howard | Pharmacist | 2900 N. Saginaw St, Flint, MI 48505 | 2014-05-08 |
| 1366881112 | Barry Michael Crawford | Family Medicine | 2900 N. Saginaw Street, Flint, MI 48505 | 2013-06-14 |
| 1043413206 | Debra Ann Fields-pettigrew | Social Worker | G2138 West Carpenter Rd, Flint, MI 48505 | 2007-06-06 |
| 1164962015 | Anya Marie Harris | Dentist | 2900 N Saginaw St, Flint, MI 48505 | 2017-02-26 |
| 1982001863 | Benjamin William Dempsey-klott | Nurse Practitioner | G2138 West Carpenter Rd, Flint, MI 48505 | 2014-11-20 |
| Find all providers in zip 48505 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1124630603 | Ashley Toole | Home Health | 2483 S Linden Rd Ste 150, Flint, MI 48532-5478 | 2020-08-17 |
| 1861002503 | Wedlow Homecare LLC | Home Health | 119 W Rankin St, Flint, MI 48505-4121 | 2020-08-07 |
| 1700401528 | Senior Bridges | Home Health | 325 W Paterson St, Flint, MI 48503-1019 | 2020-06-09 |
| 1710523394 | Caring Angels Home Care LLC | Home Health | 3500 Flushing Rd, Suite 209, Flint, MI 48504-4235 | 2019-11-19 |
| 1205393626 | A Caring Hand Home Health LLC | Home Health | 1051 Professional Drive Bld C, Suite 4, Flint, MI 48532-3636 | 2019-02-21 |
| 1104398940 | Rubie Jean Payne | Home Health | G3500 Flushing Rd Ste 209, Flint, MI 48504-4247 | 2018-12-18 |
| 1871073635 | M&m Development & Management LLC | Home Health | 3900 Hammerberg Rd, Flint, MI 48507-6022 | 2018-08-20 |
| 1477060176 | Metro Housing Development Corporation | Home Health | 930 East Myrtle Ave, Flint, MI 48505 | 2018-01-03 |
| 1093225559 | A.f.c. Home Care, Inc. | Home Health | 4330 Carmanwood Dr, Flint, MI 48507-5602 | 2017-10-10 |
| Find all providers in FLINT | ||||
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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.