Individual provider · Type 1 NPI
Charity Baker, CNA
Adult Care Home Facility · Jackson, TN
NPI number
1265045223
Active
Practice location
677 Westwood Ave
Jackson, TN 38301-4230
Mailing address
PO Box 10504
Jackson, TN 38308-0108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Adult Companion | 372600000X | None listed |
| Attendant Care Provider | 3747A0650X | None listed |
| Personal Care Attendant | 3747P1801X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Homemaker | 376J00000X | None listed |
| Nurse's Aide | 376K00000X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1265045223
Charity Baker, CNA's National Provider Identifier is 1265045223, issued on Aug 28, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Jackson, TN. The record was last updated on Sep 9, 2020.