Jackson-Richmond Properties LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

JACKSON-RICHMOND PROPERTIES LLC

Doing business as

LITLE ANGELS Heavenly Hands

Practice address

3420 Deleuil Ave
Tampa, FL 33610-3621

Phone

(813) 352-8824

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tanika Shakita Jackson-Richmond, DNP, MSN,ED,RNNPI 1861143828

Title

Ceo

Phone

(813) 352-8824

Specialties & licenses 1

Addresses

Other names 1

• LITLE ANGELS Heavenly Hands Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tanika S Jackson-Richmond, DNP,MSN,ED,RN,CEO

  • Continuing Education/Staff Development Registered Nurse
  • Tampa, FL
  • NPI 1861143828
  NPD Authorized official

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1407670896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 DELEUIL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103621",
            "telephone_number": "813-352-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 DELEUIL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336103621",
            "telephone_number": "813-352-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON-RICHMOND PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON-RICHMOND",
        "authorized_official_first_name": "TANIKA",
        "authorized_official_middle_name": "SHAKITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-352-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, MSN,ED,RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LITLE ANGELS Heavenly Hands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haley Jackowiak
• Jackson Dental, P.a.
• April Michelle Jackson James, PHD
• Mashira Denisha Jackson-Gallegos, MD
• Kim Anise Jackson-McCalla, M.S.
• Tanika S Jackson-Richmond, DNP,MSN,ED,RN,CEO
• Allison Jackson, MD
• Andrea Latrell Jackson, M.A.
• Anthony Shane Jackson, PHARM.D., BCPS
• Benisha Jackson, MS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.