Active NPI
Mary Sheree Jackson
- Home Health Aide
- Munhall, PA
National Provider Identifier
1194388678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 39723601
- Practice address
- 310 Eliabeth Street
Munhall, PA 15120-3314 - Phone
- (412) 805-4652
- NPI assigned
- Apr 19, 2019
- Last updated
- May 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 39723601 | PA | Primary |
Addresses
Primary practice location
310 Eliabeth Street
Munhall, PA 15120-3314
Mailing address
310 Elizabeth St
Munhall, PA 15120-3314
Phone (412) 805-4652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39723601 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39723601 | PA | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leann's Loving Hands Home Care | Single Specialty | Current | Accepting new patients |
| Leann's Loving Hands Home Care of Ohio | Home Health Aide | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Leann's Loving Hands
- Home Health Agency
- Pittsburgh, PA
- NPI 1073351714
Single Specialty
-
- Home Health Aide
- Youngstown, OH
- NPI 1538040886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1194388678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 ELIZABETH ST",
"city": "MUNHALL",
"state": "PA",
"postal_code": "151203314",
"telephone_number": "412-805-4652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 ELIABETH STREET",
"city": "MUNHALL",
"state": "PA",
"postal_code": "151203314",
"telephone_number": "412-805-4652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "MARY",
"middle_name": "SHEREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2024-05-22",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "PA",
"license": "39723601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39723601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Munhall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.