Samantha Jackson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

920 Waycross Rd
Cincinnati, OH 45240-3071

Phone

(513) 295-9697

NPI assigned

Mar 3, 2020

Sex

Female

Sole proprietor

Yes

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.

• A Loving Companion Home Care LLC

  • Home Health Agency
  • Cincinnati, OH
  • NPI 1215646625
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 3, 2020.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1649804360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403071",
            "telephone_number": "513-295-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 WAYCROSS RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452403071",
            "telephone_number": "513-295-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Jackson, R.N.
• Randy Jackson
• Raymond William Jackson, MD
• Richard L. Jackson, D.D.S.
• Ronald L Jackson Sr., ED.D.
• Samantha L Jackson
• Scott M Jackson
• Sentell Jackson
• Shariyah Jackson
• Shauntinique D Jackson

• All providers in Cincinnati, OH
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.