Active NPI
Abosede Jackson
- Home Health Agency
- Garland, TX
National Provider Identifier
1033940499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 5009 Peninsula Way Apt 2202
Garland, TX 75043-4249 - Phone
- (214) 530-7936
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | TX | ||
| Respite Care | 385H00000X | TX | ||
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
5009 Peninsula Way Apt 2202
Garland, TX 75043-4249
Mailing address
5009 Peninsula Way Apt 2202
Garland, TX 75043-4249
Phone (214) 530-7936
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1033940499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 PENINSULA WAY APT 2202",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434249",
"telephone_number": "214-530-7936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 PENINSULA WAY APT 2202",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434249",
"telephone_number": "214-530-7936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ABOSEDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.