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STEPHANIA JACKSON
NPI 1639816010
In Home Supportive Care in Las Vegas, NV

Active since May 17, 2022
4080 E LAKE MEAD BLVD STE B111, LAS VEGAS, NV 89115(702) 531-9344 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephania Jackson NPPES

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

STEPHANIA JACKSON (NPI 1639816010) is an individual in home supportive care provider in Las Vegas, Nevada and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1639816010
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameSTEPHANIA JACKSON
Location Address4080 E LAKE MEAD BLVD STE B111Las Vegas, NV 89115-6466
Mailing Address4080 E Lake Mead Blvd Ste B111Las Vegas, NV 89115-6466 · (702) 531-9344
Phone(702) 531-9344
Sole ProprietorYes
Enumeration DateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1639816010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
4080 E LAKE MEAD BLVD STE B111, Las Vegas, NV 89115
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Other Identifiers 1

Medicaid9195864430NV

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.

TINISHA BELL
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344
SHANNON BROWN
Technician (Personal Care Attendant)
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344
MARIE DJEDJE BIDO
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 629-8226
FATIMATA CISSE
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344
MELISSA WALKER
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344
EMPRESS GAYE
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 629-8226
TIFFANY THOMAS
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344
CANDICE ESCOE
In Home Supportive Care
4080 E LAKE MEAD BLVD STE B111
LAS VEGAS, NV 89115
Clark County (702) 531-9344

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 Stephania Jackson's NPI number?

The NPI number for Stephania Jackson is 1639816010. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Stephania Jackson located?

Stephania Jackson practices at 4080 E Lake Mead Blvd Ste B111, Las Vegas, NV 89115. The listed phone number is (702) 531-9344.

What is Stephania Jackson's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Stephania Jackson was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.