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

Q: What is Jackie Odishoo's NPI number?

The NPI number for Jackie Odishoo is 1962813931. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Q: What is Jackie Odishoo's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Odishoo was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 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: August 09, 2026.

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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

Phone(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

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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.

ROYALTY HOME CARE, LLC

Case Management

12163 N 87TH DR
PEORIA, AZ 85345

Maricopa County (623) 326-8282

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 Jackie Odishoo's NPI number?

The NPI number for Jackie Odishoo is 1962813931. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Jackie Odishoo located?

Jackie Odishoo practices at 12163 N 87th Dr, Peoria, AZ 85345. The listed phone number is (623) 326-8282.

What is Jackie Odishoo's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Jackie Odishoo was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.