Madeia H. Jacobs

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN293559L Issued in PA

Practice address

225 N Presidential Blvd Ste 103
Bala Cynwyd, PA 19004-1258

Phone

(215) 907-7911

NPI assigned

Sep 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Precious Home Care Agency Corporation

  • Home Health Agency
  • Bala Cynwyd, PA
  • NPI 1003452996
  NPD Authorized official

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1194150896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 N MARSTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291318",
            "telephone_number": "610-690-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N PRESIDENTIAL BLVD STE 103",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041258",
            "telephone_number": "215-907-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Baltimore Pike",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190642800",
            "country_code": "US",
            "telephone_number": "610-690-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "MADEIA",
        "middle_name": "H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "RN293559L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194150896",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Your Home Healthcare Agency LLC
• Insight Health Corp
• Institute for Cognitive Prosthetics Inc
• Integrative Psychological & Consulting Services
• Mekayla Dawn Jackson
• Alyssa Rose Jacullo
• Jason Jaegly, PSY.D.
• Antoine Jahshan, M.D.
• Audre L. Jarmas, PH.D.
• Jodi J Jasionowicz, D.M.D.

• All providers in Bala Cynwyd, PA
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.