Charles Dangelo Jackson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

326 Stubbs Dr
Trotwood, OH 45426-3109

Phone

(513) 328-5132

NPI assigned

Feb 14, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1003513599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 STUBBS DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454263109",
            "telephone_number": "513-328-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 STUBBS DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454263109",
            "telephone_number": "513-328-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHARLES",
        "middle_name": "DANGELO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemba Hubbard
• Cynthia Elaine Hunter, COTA/L
• Mindy Jo Hyre, RPH
• Inspired by Love Home Healthcare Agency LLC
• J W Devers & Son Inc
• Diana Lynn Jackson
• Sandra Jacomet
• Angela D James
• Regina Jefferson
• Jermaines Love Homecare LLC

• Home Health Agency in Trotwood, OH
• Providers in Trotwood, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.