1. Home
  2. Directory
  3. Ohio
  4. Manchester
  5. Home Health Aide
  6. NPI Profile

JACKIE CERVANTES
NPI 1629197009
Home Health Aide in Manchester, OH

Active since March 28, 2007
308 JACK ROUSH WAY, MANCHESTER, OH 45144(937) 549-8502 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackie Cervantes NPPES

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

JACKIE CERVANTES (NPI 1629197009) is an individual home health aide in Manchester, Ohio, licensed in Ohio (2627456) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629197009
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameJACKIE CERVANTES
Location Address308 JACK ROUSH WAYManchester, OH 45144-1423
Mailing Address308 Jack Roush WayManchester, OH 45144-1423 · (937) 549-8502
Phone(937) 549-8502
Sole ProprietorYes
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1629197009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in OH · 2627456
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
308 JACK ROUSH WAY, Manchester, OH 45144
Open in Google Maps ↗

Other Identifiers 1

Medicaid2627456OH

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 Jackie Cervantes's NPI number?

The NPI number for Jackie Cervantes is 1629197009. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Jackie Cervantes located?

Jackie Cervantes practices at 308 Jack Roush Way, Manchester, OH 45144. The listed phone number is (937) 549-8502.

What is Jackie Cervantes's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Jackie Cervantes was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.