Drelynn Jacobs

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

402006000917 Issued in OH

Practice address

216 S Schenley Ave
Youngstown, OH 44509

Phone

(330) 623-9134

NPI assigned

Jun 8, 2020

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

State licenses

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.

• Qualityhomecare LLC

  • In Home Supportive Care Agency
  • Youngstown, OH
  • NPI 1437903507
  NPD Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1639794498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 S SCHENLEY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44509",
            "telephone_number": "330-623-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S SCHENLEY AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44509",
            "telephone_number": "330-623-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DRELYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "402006000917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Jackson
• Tekah Jackson
• Torrean Darnell Jackson, CDCA
• Troy Jackson, B.A.
• Coree Lynn Jacobs
• Lakota William Jacobs
• Yazan K Jadallah, MD
• Adil N Jaffer, M.D.
• Manik Jain, MD
• Paul Edward Jajcinovic, CRNA

• Home Health Aide in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.