Individual provider · Type 1 NPI

Tamika Jackson

Personal Care Attendant · Southfield, MI

NPI number 1003668203 Active

Practice location

24123 Greenfield Rd # 311207
Southfield, MI 48075-3125

Call (313) 457-4114 Map

Mailing address

24123 Greenfield Rd Ste 311
Southfield, MI 48075-3124

Other practice locations

24123 Greenfield Rd Ste 311, Southfield, MI 48075-3124 · (313) 457-4114

Specialties and licenses

Taxonomy	Code	License
Home Health Agency	251E00000X	None listed
In Home Supportive Care Agency	253Z00000X	None listed
Adult Day Care Clinic/Center	261QA0600X	None listed
Adult Care Home Facility	311ZA0620X	None listed
Chore Provider	372500000X	None listed
Personal Care Attendant Primary	3747P1801X	None listed

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1003668203

Tamika Jackson's National Provider Identifier is 1003668203, issued on Apr 2, 2024. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Southfield, MI. The record was last updated on Apr 2, 2024.