Jackson and Associates Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JACKSON AND ASSOCIATES INC

Practice address

2431 76TH Ave
Philadelphia, PA 19150-1807

Phone

(267) 693-6861

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Phillis Jackson

Title

Ceo/Owner

Phone

(267) 693-6861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1093414245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 76TH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501807",
            "telephone_number": "267-693-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 76TH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191501807",
            "telephone_number": "267-693-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PHILLIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "267-693-6861"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanton Jacinto, MSW, LSW
• Jack Gold Surgical Appliances, Inc.
• Carissa Rose Jackel
• Karen A Jackson -White, M.D.
• Antoinette Rosa Jackson (Aziz), LPC
• Aja Jackson Devose, D.O.
• Tracy P Jackson-Bunn, RN
• Maya Jackson-Gibson
• A'Taja Jackson
• Aaron Jackson, DO, DPT

• In Home Supportive Care Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.