TRINETTE JACKSON (NPI# 1922606706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922606706 |
| Entity Type | Individual |
| Full Name | TRINETTE JACKSON |
| Practice Address |
905 Woodlawn St Memphis TN 38107-2531 |
| Practice Telephone | 9016748960 |
| Mailing Telephone | 9016748960 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208617 | Trinette Amelia Jackson | Counselor | 4336 North Blvd Ste 104, Baton Rouge, LA 70806-3920 | 2019-04-12 |
| Street Address |
905 WOODLAWN ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38107-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346801925 | Sarah E. Stevenson | Respiratory Therapist, Certified | 236 Caldwell Ave., Memphis, TN 38107 | 2019-06-25 |
| 1235516097 | Behavioral Healthcare Center At Memphis, Inc. | Psychiatric Hospital | 1505 N Second Street, Memphis, TN 38107 | 2015-04-30 |
| 1568732766 | Mary Geneva Scott | Pharmacist | 957 Elm Grove Cr, Collierville, TN 38107 | 2012-01-04 |
| 1053375634 | Harbor View Nursing and Rehabilitation Center Inc | Nursing Facility/Intermediate Care Facility | 1513 N 2nd St, Memphis, TN 38107 | 2006-04-12 |
| 1902289937 | Emily Williams | Speech-Language Pathologist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2015-07-08 |
| 1043586498 | Jordan A Bunn | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2012-03-30 |
| 1700186624 | Colleen M. Foeller | Occupational Therapy Assistant | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-10-26 |
| 1972818920 | Brian Matthew Defeo | Physical Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-15 |
| 1154635993 | Jonna Pfountz | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-04 |
| 1891009643 | Montricia Renese Glenn | Occupational Therapist | 1513 N 2nd St, Memphis, TN 38107-1003 | 2010-08-04 |
| Find all providers in zip 38107 | ||||
| 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 |
|---|---|---|---|---|
| 1871103564 | Kv Quality Care | In Home Supportive Care | 109 Lynnfield St, Memphis, TN 38120-2305 | 2020-08-06 |
| 1801406749 | Home Care Management Nursing Agency LLC | In Home Supportive Care | 602 Harrell St, Memphis, TN 38112-2932 | 2020-08-05 |
| 1013526425 | Peeples Choice | In Home Supportive Care | 5263 Cherokee Rose Ln, Memphis, TN 38125-4119 | 2020-07-31 |
| 1427667641 | Alecia Alexander | In Home Supportive Care | 696 Inez St, Memphis, TN 38111-2223 | 2020-07-23 |
| 1548884281 | Peaceful Transitions In-home Care Services Inc | In Home Supportive Care | 4384 Stage Rd Ste 204, Memphis, TN 38128-5762 | 2020-05-28 |
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1811516826 | Comforts of Life Home Care Inc | In Home Supportive Care | 4523 Millbranch Rd, Memphis, TN 38116-7437 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1417583014 | The Connection Center | In Home Supportive Care | 1317 Jackson Ave, Memphis, TN 38107-4334 | 2020-03-16 |
| 1265066161 | Latc Personal Care | In Home Supportive Care | 62 N Main St Apt 209, Memphis, TN 38103-2198 | 2020-02-28 |
| Find all providers in MEMPHIS | ||||
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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.