Jacklyn Ackerman
Individual provider Active NPI Home Health Aide · Post Falls, ID
NPI 1346504248 · NPPES record last updated Jun 26, 2012
Key facts
- NPI
- 1346504248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2430 Partridge Loop
Post Falls, ID 83854-4944 - Phone
- (208) 964-3357
- NPI assigned
- Jun 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
2430 Partridge Loop
Post Falls, ID 83854-4944
Mailing address
2430 Partridge Loop
Post Falls, ID 83854-4944
Phone (208) 964-3357
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.