DAVIS JACKSON MEDICAL ASSIST TEAN LEE
NPI 1114528973
Adult Companion in Saint Paul, MN

Q: What is Davis Jackson Medical Assist Tean Lee's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

Active since November 06, 2020

6449 IPTH DR., SAINT PAUL, MN 55725(657) 592-5960(651) 286-2994 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Davis Jackson Medical Assist Tean Lee NPPES

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

DAVIS JACKSON MEDICAL ASSIST TEAN LEE (NPI 1114528973) is a healthcare organization registered as an adult companion in Saint Paul, Minnesota and active in the NPI registry since November 2020. The organization lists Florense Monique Davis, President/owner, as its authorized official.

NPPES Registry Identity

NPI1114528973

Entity TypeOrganization

Primary Taxonomy372600000X

Legal Business NameDAVIS JACKSON MEDICAL ASSIST TEAN LEE

Location Address6449 IPTH DR.Saint Paul, MN 55725-1130

Mailing Address1321 E. 78th Street Apt. 114Bloomington, MN 55425-1114 · (651) 592-5960 · Fax (651) 286-2994

Phone(657) 592-5960

Fax(651) 286-2994

Organization SubpartNo

Authorized OfficialFlorense Monique DavisPresident/owner · (651) 595-5960

Enumeration DateNovember 6, 2020

NPPES CertifiedNovember 6, 2020

✔ NPI 1114528973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyAdult CompanionNursing Service Related Providers

Taxonomy Code372600000X

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Also ListedChore ProviderTaxonomy 372500000X

Also ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

Also ListedHomemakerTaxonomy 376J00000X

6449 IPTH DR., Saint Paul, MN 55725

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Davis Jackson Medical Assist Tean Lee's NPI number?

The NPI number for Davis Jackson Medical Assist Tean Lee is 1114528973. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Davis Jackson Medical Assist Tean Lee located?

Davis Jackson Medical Assist Tean Lee is located at 6449 Ipth Dr., Saint Paul, MN 55725. The listed phone number is (657) 592-5960.

What is Davis Jackson Medical Assist Tean Lee's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Davis Jackson Medical Assist Tean Lee was last updated on November 6, 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.