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ANITA DIONNE JACKSON
NPI 1134699481
Home Health in Palm Coast, FL

Active since November 29, 2018
29 BALTIMORE LN, PALM COAST, FL 32137(386) 264-1398(386) 303-5536 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Nov 29, 2018 (2 updates tracked since 2018).

About Anita Dionne Jackson NPPES

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

ANITA DIONNE JACKSON (NPI 1134699481) is an individual home health provider in Palm Coast, Florida, licensed in Florida (30212414) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1134699481
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameANITA DIONNE JACKSON
Location Address29 BALTIMORE LNPalm Coast, FL 32137-8851
Mailing Address17 Old Kings Rd N Ste EPalm Coast, FL 32137-8283 · (386) 264-1398 · Fax (386) 303-5536
Phone(386) 264-1398
Fax(386) 303-5536
Sole ProprietorYes
Enumeration DateNovember 29, 2018
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
✔ NPI 1134699481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in FL · 30212414
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
29 BALTIMORE LN, Palm Coast, FL 32137
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Other Names 1

Former Name (1)Anita Dionne Jackson

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 Anita Jackson's NPI number?

The NPI number for Anita Jackson is 1134699481. It was assigned to this individual provider in the NPPES registry on November 29, 2018. The provider is also known as Anita Dionne Jackson.

Where is Anita Jackson located?

Anita Jackson practices at 29 Baltimore Ln, Palm Coast, FL 32137. The listed phone number is (386) 264-1398.

What is Anita Jackson's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Anita Jackson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.