LANIKKI JACKSON
NPI 1154150738
In Home Supportive Care in New Madrid, MO

Active since July 31, 2024
430 MISSOURI AVE, NEW MADRID, MO 63869(573) 936-6735 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • In Home Supportive Care

About LANIKKI JACKSON

This page provides the complete NPI Profile along with additional information for Lanikki Jackson, a provider established in New Madrid, Missouri with a medical specialization in In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1154150738 assigned on July 2024. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1154150738 Verify this NPI
Provider Name
LANIKKI JACKSON
Gender
Female
Entity Type
Individual
Location Address
430 MISSOURI AVE NEW MADRID, MO 63869
Location Phone
(573) 936-6735
Mailing Address
430 MISSOURI AVE NEW MADRID, MO 63869
Mailing Phone
(573) 936-6735
Is Sole Proprietor?
No
Enumeration Date
07-31-2024
Last Update Date
10-28-2025
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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

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License State
MO
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
430 MISSOURI AVE
NEW MADRID, MO 63869

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154150738, enumerated as an "individual" on July 31, 2024.

The provider is located at 430 MISSOURI AVE NEW MADRID, MO 63869 and the phone number is (573) 936-6735.

In Home Supportive Care with taxonomy code 253Z00000X.