1. Home
  2. Directory
  3. South Carolina
  4. Sumter
  5. Home Health
  6. NPI Profile

MISS SANDRA DENISE JACKSON
NPI 1932846649
Home Health in Sumter, SC

Active since May 14, 2022
1150 BROAD ST STE 4, SUMTER, SC 29150(803) 869-1005 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Sandra Denise Jackson NPPES

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

MISS SANDRA DENISE JACKSON (NPI 1932846649) is an individual home health provider in Sumter, South Carolina, licensed in South Carolina (LI-234264) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1932846649
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMISS SANDRA DENISE JACKSON
Location Address1150 BROAD ST STE 4Sumter, SC 29150-1997
Mailing Address1150 Broad StSumter, SC 29150-1997 · (803) 566-3921
Phone(803) 869-1005
Sole ProprietorYes
Enumeration DateMay 14, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1932846649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in SC · LI-234264
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.
1150 BROAD ST STE 4, Sumter, SC 29150
Open in Google Maps ↗

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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1932846649. It was assigned to this individual provider in the NPPES registry on May 14, 2022.

Where is Sandra Jackson located?

Sandra Jackson practices at 1150 Broad St Ste 4, Sumter, SC 29150. The listed phone number is (803) 869-1005.

What is Sandra Jackson's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandra Jackson was last updated on May 14, 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.