TOMIAH JACKSON
NPI 1275403388
Clinic/Center - Adult Day Care in Wauwatosa, WI

Active since November 05, 2025
4057 N MAYFAIR RD, WAUWATOSA, WI 53222(414) 788-1084(862) 263-7319 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tomiah Jackson NPPES

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

TOMIAH JACKSON (NPI 1275403388) is an individual adult day care provider in Wauwatosa, Wisconsin, licensed in Wisconsin (0021599) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1275403388
Entity TypeIndividualFemale
Primary Taxonomy261QA0600X
Provider Legal NameTOMIAH JACKSON
Location Address4057 N MAYFAIR RDWauwatosa, WI 53222-1101
Mailing Address4057 N Mayfair RdWauwatosa, WI 53222-1101 · (414) 788-1084 · Fax (862) 263-7319
Fax(862) 263-7319
Sole ProprietorYes
Enumeration DateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1275403388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License Licensed in WI · 0021599
4057 N MAYFAIR RD, Wauwatosa, WI 53222

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 Tomiah Jackson's NPI number?

The NPI number for Tomiah Jackson is 1275403388. It was assigned to this individual provider in the NPPES registry on November 5, 2025.

Where is Tomiah Jackson located?

Tomiah Jackson practices at 4057 N Mayfair Rd, Wauwatosa, WI 53222. The listed phone number is (414) 788-1084.

What is Tomiah Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Tomiah Jackson was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.