Organization Active NPI

Jackson Patient Care Services LLC

  • Home Health Agency
  • Princess Anne, MD
National Provider Identifier
1003772732
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
JACKSON PATIENT CARE SERVICES LLC
Practice address
30520 Pine Knoll Dr
Princess Anne, MD 21853-1418
Phone
(410) 251-0224
NPI assigned
Dec 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Latoya Jackson
Title
Ceo
Phone
(410) 251-0224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

30520 Pine Knoll Dr
Princess Anne, MD 21853-1418

Mailing address

30520 Pine Knoll Dr
Princess Anne, MD 21853-1418
Phone (410) 251-0224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1003772732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30520 PINE KNOLL DR",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531418",
            "telephone_number": "410-251-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30520 PINE KNOLL DR",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531418",
            "telephone_number": "410-251-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PATIENT CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-251-0224"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; 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.