My Mothers Keeper LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

120514E Issued in SC

Legal business name

MY MOTHERS KEEPER LLC

Practice address

1265 Hamlin Rd
Mt Pleasant, SC 29464

Phone

(843) 870-1839

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jacquelyn Marie JacksonNPI 1366627002

Title

Certified Nurses Assistant

Phone

(843) 870-1839

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacquelyn Marie Jackson

  • Nurse's Aide
  • Mount Pleasant, SC
  • NPI 1366627002
  Authorized official Same address or phone

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1225207988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2522",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29465",
            "telephone_number": "843-870-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HAMLIN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-870-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOTHERS KEEPER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED NURSES ASSISTANT",
        "authorized_official_telephone_number": "843-870-1839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "SC",
            "license": "120514E",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "SC",
            "license": "120514E",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "120514E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Rodney Murrin, D.C.
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• Robert Michael Myers, DMD
• Myeyedr Optometry South Carolina, LLC (MyEyeDr.)
• N&S Fund Management LLC
• Vinitha Nareddy, M.D.
• Nash Orthodontics Practice LLC

• Home Health Aide in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Home Health Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.