JACKIE ODISHOO
NPI 1962813931
In Home Supportive Care in Peoria, AZ

Active since May 13, 2014
12163 N 87TH DR, PEORIA, AZ 85345(623) 326-8282 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jackie Odishoo NPPES

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

JACKIE ODISHOO (NPI 1962813931) is an individual in home supportive care provider in Peoria, Arizona and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1962813931
Entity TypeIndividualFemale
Primary Taxonomy253Z00000X
Provider Legal NameJACKIE ODISHOO
Location Address12163 N 87TH DRPeoria, AZ 85345-4132
Mailing Address12163 N 87th DrPeoria, AZ 85345-4132 · (623) 326-8282
Sole ProprietorYes
Enumeration DateMay 13, 2014
NPI 1962813931 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.

12163 N 87TH DR, Peoria, AZ 85345

Other Providers at the Same Location NPPES

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

Case Management
12163 N 87TH DR
PEORIA, AZ 85345

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962813931, enumerated as an "individual" on May 13, 2014.

The provider is located at 12163 N 87TH DR PEORIA, AZ 85345 and the phone number is (623) 326-8282.

In Home Supportive Care with taxonomy code 253Z00000X.