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JEROME SANTOS JACKSON
NPI 1639678196
Technician - Personal Care Attendant in Las Vegas, NV

Active since February 09, 2018
1951 STELLA LAKE ST STE 36, LAS VEGAS, NV 89106(702) 595-8309 Get Directions Write a Review

NPPES record last updated: February 9, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerome Santos Jackson NPPES

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

JEROME SANTOS JACKSON (NPI 1639678196) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1639678196
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJEROME SANTOS JACKSON
Location Address1951 STELLA LAKE ST STE 36Las Vegas, NV 89106-2144
Mailing Address2051 N Torrey Pines Dr Apt 2042Las Vegas, NV 89108-6526
Phone(702) 595-8309
Sole ProprietorYes
Enumeration DateFebruary 9, 2018
✔ NPI 1639678196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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
1951 STELLA LAKE ST STE 36, Las Vegas, NV 89106
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Other Identifiers 1

MedicaidB9824255CA

Other Providers at the Same Location NPPES 20

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

DAYAMY GARCIA ACEVEDO
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 595-8309
ALISHA M GRONER
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 595-8309
KRISTIANA HOLLY CACHA
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 888-1415
LESBIA AMPARO PATINO
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 595-8309
DOLORES DE LA CARIDAD MENDEZ
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 888-1415
BRIAN ROMERO
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 595-8309
MARIA HILDA GALARZA
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 888-1415
BERNETTA ALYCE NAULLS
Technician (Personal Care Attendant)
1951 STELLA LAKE ST STE 36
LAS VEGAS, NV 89106
Clark County (702) 888-1415

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 Jerome Jackson's NPI number?

The NPI number for Jerome Jackson is 1639678196. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Where is Jerome Jackson located?

Jerome Jackson practices at 1951 Stella Lake St Ste 36, Las Vegas, NV 89106. The listed phone number is (702) 595-8309.

What is Jerome 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 Jerome Jackson was last updated on February 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.