Tanesha Jackson

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

319 Lanier CT
Hiram, GA 30141-2072

Phone

(470) 962-7121

NPI assigned

Oct 31, 2024

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

Practice roles

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.

• Open Arms Adult Daycare, LLC

  • Adult Day Care Clinic/Center
  • Hiram, GA
  • NPI 1194547984
  NPD Authorized official

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1215759097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 LANIER CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412072",
            "telephone_number": "470-962-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LANIER CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412072",
            "telephone_number": "470-962-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TANESHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interactive Interventions
• Interventional Spine & Pain Management Center, PC
• Elizabeth Nyambura Irungu, NP
• Its Not Something Its Everything, LLC
• Debra Jackson, MA
• Charles Christopher Jakubczak, D.C.
• Rhonda James-Jones
• Jason E. Turner, DMD, PC
• Jaxs Transport Service LLC
• Jay Goldklang DC, PC

• Adult Day Care Clinic/Center in Hiram, GA
• Providers in Hiram, GA by specialty
• Adult Day Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.