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ADVANCE JACKSON HOME HEALTH SERVICES
NPI 1629896584
Home Health in Miami Lakes, FL

Active since September 30, 2024CLIA 10D2310355 · Waiver
6175 NW 153RD ST STE 223, MIAMI LAKES, FL 33014(786) 351-6114 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advance Jackson Home Health Services NPPES

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

ADVANCE JACKSON HOME HEALTH SERVICES (NPI 1629896584) is a healthcare organization registered as a home health in Miami Lakes, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through September 2, 2026 and lists Marlyn Morejon, Aprn, as its authorized official.

NPPES Registry Identity

NPI1629896584
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameADVANCE JACKSON HOME HEALTH SERVICES
Location Address6175 NW 153RD ST STE 223Miami Lakes, FL 33014-2420
Mailing Address6175 Nw 153rd St Ste 223Miami Lakes, FL 33014-2420 · (786) 351-6114
Phone(786) 351-6114
Organization SubpartNo
Authorized OfficialMarlyn MorejonAprn · (786) 351-6114
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1629896584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
6175 NW 153RD ST STE 223, Miami Lakes, FL 33014
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2310355

Advance Jackson Home Health Services · Miami Lakes, FL
Active · expires Sep 2, 2026
CLIA Number10D2310355
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 3, 2024
Certificate Expiration DateSeptember 2, 2026
Laboratory DirectorMarlyn M. Morejon
Laboratory Phone(786) 663-9220
Laboratory LocationAdvance Jackson Home Health Services6175 NW 153rd St Ste 223, Miami Lakes, FL 33014
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Advance Jackson Home Health Services's NPI number?

The NPI number for Advance Jackson Home Health Services is 1629896584. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Advance Jackson Home Health Services located?

Advance Jackson Home Health Services is located at 6175 NW 153rd St Ste 223, Miami Lakes, FL 33014. The listed phone number is (786) 351-6114.

What is Advance Jackson Home Health Services's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Advance Jackson Home Health Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2310355) is associated with this NPI, valid through September 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advance Jackson Home Health Services was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.