Janella Jackson, RN

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

ICPH-1221 Issued in SC

Practice address

North Myrtle Beach Business Center Suite 115
1019 Hwy 17S
North Myrtle Beach, SC 29582

Phone

(843) 273-5022

Fax

(843) 273-5022

NPI assigned

Feb 22, 2020

Last updated

Aug 20, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J&R Angels Care Services LLC

  • In Home Supportive Care Agency
  • North Myrtle Beach, SC
  • NPI 1942812656
  NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1215561865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NMB BUSINESS CENTER 1019 HWY 17S SUITE 115",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-273-5022",
            "fax_number": "843-273-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH MYRTLE BEACH BUSINESS CENTER SUITE 115",
            "address_2": "1019 HWY 17S",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "843-273-5022",
            "fax_number": "843-273-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JANELLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "SC",
            "license": "ICPH-1221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Huggins
• Madelyn Grace Hunt, RBT
• Independent Mental Health Solutions LLC
• Inner Peace Behavioral Health
• J&R Angels Care Services LLC
• JC Homes Care, LLC (2ndFamily North Myrle Beach)
• Jebediah S Christy-North Myrtle Beach PLLC (Aspen Dental)
• Jo Ann Jeffers, OD
• Janice Jefferson, RN
• Judy Allen Jones, RPH

• In Home Supportive Care Agency in North Myrtle Beach, SC
• Providers in North Myrtle Beach, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.