Individual provider · Type 1 NPI

Yamisha Jackson, C.N.A

Adult Companion · Detroit, MI

NPI number 1386101574 Active

Practice location

11611 Grayton St
Detroit, MI 48224-1643

Call (313) 556-4769 Map

Fax (313) 473-8192

Mailing address

7762 Rosemont Ave
Detroit, MI 48228-5426

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000X230009497230504 (MI)

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

Another provider at this address

Other adult companion providers in Detroit

See all in Detroit →

About NPI 1386101574

Yamisha Jackson, C.N.A's National Provider Identifier is 1386101574, issued on Feb 25, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Detroit, MI. The record was last updated on Sep 11, 2025.