THERESA JACKSON
NPI 1104207083
Chore Provider in River Rouge, MI

Active since June 16, 2015
77 E GREAT LAKES ST APT 303, RIVER ROUGE, MI 48218(313) 208-4140 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theresa Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA JACKSON (NPI 1104207083) is an individual chore provider provider in River Rouge, Michigan, licensed in Michigan (2383432582) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1104207083
Entity TypeIndividualFemale
Primary Taxonomy372500000X
Provider Legal NameTHERESA JACKSON
Location Address77 E GREAT LAKES ST APT 303River Rouge, MI 48218-1584
Mailing Address77 E Great Lakes St Apt 303River Rouge, MI 48218-1584 · (313) 208-4140
Sole ProprietorNo
Enumeration DateJune 16, 2015
NPI 1104207083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChore ProviderNursing Service Related Providers
Taxonomy Code372500000X
License Licensed in MI · 2383432582
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
77 E GREAT LAKES ST APT 303, River Rouge, MI 48218

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Jackson's NPI number?

The NPI number for Theresa Jackson is 1104207083. It was assigned to this individual provider in the NPPES registry on June 16, 2015.

Where is Theresa Jackson located?

Theresa Jackson practices at 77 E Great Lakes St Apt 303, River Rouge, MI 48218. The listed phone number is (313) 208-4140.

What is Theresa Jackson's specialty?

The primary specialty registered for this NPI is Chore Provider with taxonomy code 372500000X.

When was this NPI record last updated?

The NPPES record for Theresa Jackson was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.