TAMIKA JACKSON
NPI 1003668203
Technician - Personal Care Attendant in Southfield, MI
- Individual
- Female
- Technician
- Personal Care Attendant
About TAMIKA JACKSON
This page provides the complete NPI Profile along with additional information for Tamika Jackson, a provider established in Southfield, Michigan with a medical specialization in Technician, focusing in personal care attendant . The healthcare provider is registered in the NPI registry with number 1003668203 assigned on April 2024. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1003668203 Verify this NPI
- Provider Name
- TAMIKA JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 24123 GREENFIELD RD # 311207 SOUTHFIELD, MI 48075
- Location Phone
- (313) 457-4114
- Mailing Address
- 24123 GREENFIELD RD STE 311 SOUTHFIELD, MI 48075
- Mailing Phone
- (313) 457-4114
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-02-2024
- Last Update Date
- 04-02-2024
- Code Navigator
Location Map
Secondary Locations
- 24123 Greenfield Rd Ste 311
Southfield, MI 48075
(313) 457-4114
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Technician Personal Care Attendant
- Taxonomy Code
- 3747P1801X
- Type
- Nursing Service Related Providers
- Taxonomy Description
- An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | |
| 2 | 253Z00000X | Agencies | In Home Supportive Care | |
| 3 | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | |
| 4 | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 5 | 372500000X | Nursing Service Related Providers | Chore Provider |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003668203, enumerated as an "individual" on April 02, 2024.
The provider is located at 24123 GREENFIELD RD # 311207 SOUTHFIELD, MI 48075 and the phone number is (313) 457-4114.
Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.
