Individual provider · Type 1 NPI

Lionel Jackson

Personal Care Attendant · Hammond, LA

NPI number 1104783588 Active

Practice location

906 Cm Fagan Dr. Suite 3B
Hammond, LA 70403

Call (985) 542-1191 Map

Fax (985) 400-5417

Mailing address

69 Whitmar Dr
Hammond, LA 70401-1089

Specialties and licenses

Taxonomy	Code	License
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

5 other providers at this address

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About NPI 1104783588

Lionel Jackson's National Provider Identifier is 1104783588, issued on Jan 7, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Hammond, LA. The record was last updated on Jan 7, 2026.