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DESHONE LAVETTE JACKSON
NPI 1740845882
Technician - Personal Care Attendant in Copley, OH

Active since May 03, 2019
2323 SHELVA LN, COPLEY, OH 44321(330) 289-2364(330) 745-4629 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2023, May 3, 2019 (2 updates tracked since 2019).

About Deshone Lavette Jackson NPPES

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

DESHONE LAVETTE JACKSON (NPI 1740845882) is an individual personal care attendant in Copley, Ohio, licensed in Ohio (0216012) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1740845882
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameDESHONE LAVETTE JACKSON
Location Address2323 SHELVA LNCopley, OH 44321-2534
Mailing Address2323 Shelva LnCopley, OH 44321-2534 · (330) 289-2364 · Fax (330) 745-4629
Phone(330) 289-2364
Fax(330) 745-4629
Sole ProprietorYes
Enumeration DateMay 3, 2019
Last NPPES UpdateNovember 17, 20232 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1740845882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in OH · 0216012
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
Also ListedHome Health AideTaxonomy 374U00000X
2323 SHELVA LN, Copley, OH 44321
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Other Identifiers 1

Medicaid0216012OH

Other Providers at the Same Location NPPES

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

PRESTIGE HOME SERVICES LLC
Chore Provider
2323 SHELVA LN
COPLEY, OH 44321
Summit County (330) 592-5252

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 Deshone Jackson's NPI number?

The NPI number for Deshone Jackson is 1740845882. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Deshone Jackson located?

Deshone Jackson practices at 2323 Shelva Ln, Copley, OH 44321. The listed phone number is (330) 289-2364.

What is Deshone 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 Deshone Jackson was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.