ANGELA P JACKSON
NPI 1104431790
Technician - Personal Care Attendant in Canal Winchester, OH

Q: What is Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1104431790. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Q: What is Angela Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 10, 2020

5528 MEADOW PASSAGE DR, CANAL WINCHESTER, OH 43110(614) 886-7004 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela P Jackson NPPES

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

ANGELA P JACKSON (NPI 1104431790) is an individual personal care attendant in Canal Winchester, Ohio and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1104431790

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameANGELA P JACKSON

Location Address5528 MEADOW PASSAGE DRCanal Winchester, OH 43110-8397

Mailing Address5528 Meadow Passage DrCanal Winchester, OH 43110-8397 · (614) 886-7004

Phone(614) 886-7004

Sole ProprietorYes

Enumeration DateSeptember 10, 2020

NPPES CertifiedSeptember 10, 2020

✔ NPI 1104431790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

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

5528 MEADOW PASSAGE DR, Canal Winchester, OH 43110

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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 Angela Jackson's NPI number?

The NPI number for Angela Jackson is 1104431790. It was assigned to this individual provider in the NPPES registry on September 10, 2020.

Where is Angela Jackson located?

Angela Jackson practices at 5528 Meadow Passage Dr, Canal Winchester, OH 43110. The listed phone number is (614) 886-7004.

What is Angela Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Angela Jackson was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.