JOSHUA RASHAD JACKSON SR.
NPI 1194372243
In Home Supportive Care in Milwaukee, WI

Active since August 22, 2019
6340 N 84TH ST APT 5, MILWAUKEE, WI 53225(414) 233-5907 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Joshua Rashad Jackson Sr. NPPES

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

JOSHUA RASHAD JACKSON SR. (NPI 1194372243) is an individual in home supportive care provider in Milwaukee, Wisconsin and active in the NPI registry since August 2019. He maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1194372243
Entity TypeIndividualMale
Primary Taxonomy253Z00000X
Provider Legal NameJOSHUA RASHAD JACKSON SR.
Location Address6340 N 84TH ST APT 5Milwaukee, WI 53225-1972
Mailing AddressN67w13215 Daylily DrMenomonee Falls, WI 53051-0504 · (414) 233-5907 · Fax (262) 345-5550
Sole ProprietorYes
Enumeration DateAugust 22, 2019
Last NPPES UpdateNovember 27, 2023
NPI 1194372243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
6340 N 84TH ST APT 5, Milwaukee, WI 53225

Secondary Practice Location 1

Location 16340 N 84th St Apt 5Milwaukee, WI 53225-1972 · Phone (414) 233-5907

Other Identifiers 1

Medicaid832046773WI

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 Joshua Jackson's NPI number?

The NPI number for Joshua Jackson is 1194372243. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Joshua Jackson located?

Joshua Jackson practices at 6340 N 84th St Apt 5, Milwaukee, WI 53225. The listed phone number is (414) 233-5907.

What is Joshua Jackson's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Joshua Jackson was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.