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TEDRA JACKSON
NPI 1255211447
Technician - Personal Care Attendant in Cleveland, OH

Active since September 08, 2025
782 E 130TH ST, CLEVELAND, OH 44108(216) 334-3163 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tedra Jackson NPPES

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

TEDRA JACKSON (NPI 1255211447) is an individual personal care attendant in Cleveland, Ohio and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1255211447
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameTEDRA JACKSON
Location Address782 E 130TH STCleveland, OH 44108-2544
Mailing Address782 E 130th StCleveland, OH 44108-2544 · (216) 334-3163
Phone(216) 334-3163
Sole ProprietorYes
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1255211447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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

Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedSupports BrokerageTaxonomy 251X00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedHome Delivered MealsTaxonomy 332U00000X
782 E 130TH ST, Cleveland, OH 44108
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMIER EXPRESS TRANSPORT LLC
Non-emergency Medical Transport (VAN)
782 E 130TH ST
CLEVELAND, OH 44108
Cuyahoga County (440) 941-3763

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 Tedra Jackson's NPI number?

The NPI number for Tedra Jackson is 1255211447. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Tedra Jackson located?

Tedra Jackson practices at 782 E 130th St, Cleveland, OH 44108. The listed phone number is (216) 334-3163.

What is Tedra 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 Tedra Jackson was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.