RANDY JACKSON
NPI 1750807442
Home Health Aide in Mesa, AZ

Q: What is Randy Jackson's NPI number?

The NPI number for Randy Jackson is 1750807442. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Q: What is Randy Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randy Jackson was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 15, 2017

9837 E NATAL AVE, MESA, AZ 85209(480) 750-7185 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Randy Jackson NPPES

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

RANDY JACKSON (NPI 1750807442) is an individual home health aide in Mesa, Arizona and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1750807442

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameRANDY JACKSON

Location Address9837 E NATAL AVEMesa, AZ 85209-2588

Mailing AddressPo Box 52588Mesa, AZ 85208-0130

Phone(480) 750-7185

Sole ProprietorNo

Enumeration DateAugust 15, 2017

✔ NPI 1750807442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

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.

9837 E NATAL AVE, Mesa, AZ 85209

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Other Providers at the Same Location NPPES

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

INTEGRI HOMECARE, LLC

In Home Supportive Care

9837 E NATAL AVE
MESA, AZ 85209

Maricopa County (303) 522-2784

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 Randy Jackson's NPI number?

The NPI number for Randy Jackson is 1750807442. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Where is Randy Jackson located?

Randy Jackson practices at 9837 E Natal Ave, Mesa, AZ 85209. The listed phone number is (480) 750-7185.

What is Randy Jackson'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 Randy Jackson was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.