Individual provider · Type 1 NPI

Lanikki Jackson

In Home Supportive Care Agency · New Madrid, MO

NPI number 1154150738 Active

Practice location

430 Missouri Ave
New Madrid, MO 63869-1420

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency Primary 253Z00000XNone listed

In Home Supportive Care Agency: 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 medicatio…

Another provider at this address

About NPI 1154150738

Lanikki Jackson's National Provider Identifier is 1154150738, issued on Jul 31, 2024. The primary taxonomy on file is In Home Supportive Care Agency (253Z00000X), and the practice location is in New Madrid, MO. The record was last updated on Oct 28, 2025.