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MICHAEL LATRELLE JACKSON
NPI 1942050059
Home Health Aide in Rock Hill, SC

Active since March 25, 2024
1156 BANNOCKBURN AVE, ROCK HILL, SC 29732(803) 718-5292 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Latrelle Jackson NPPES

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

MICHAEL LATRELLE JACKSON (NPI 1942050059) is an individual home health aide in Rock Hill, South Carolina, licensed in South Carolina (IHCP-2092) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1942050059
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameMICHAEL LATRELLE JACKSON
Location Address1156 BANNOCKBURN AVERock Hill, SC 29732-1095
Mailing Address1156 Bannockburn AveRock Hill, SC 29732-1095 · (803) 718-5292
Phone(803) 718-5292
Sole ProprietorYes
Enumeration DateMarch 25, 2024
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1942050059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License✔ Licensed in SC · IHCP-2092
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.
1156 BANNOCKBURN AVE, Rock Hill, SC 29732
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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 Michael Jackson's NPI number?

The NPI number for Michael Jackson is 1942050059. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Michael Jackson located?

Michael Jackson practices at 1156 Bannockburn Ave, Rock Hill, SC 29732. The listed phone number is (803) 718-5292.

What is Michael 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 Michael Jackson was last updated on May 20, 2024. 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.