Elizabeth Kaganda Jackson
Individual provider Active NPI Home Health Aide · Jefferson Cty, MO
NPI 1700599370 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1700599370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 705 Jefferson St
Jefferson Cty, MO 65101-2941 - Phone
- (573) 291-5303
- NPI assigned
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | MO | Yes |
Addresses
Primary practice location
705 Jefferson St
Jefferson Cty, MO 65101-2941
Mailing address
705 Jefferson St
Jefferson Cty, MO 65101-2941
Phone (573) 291-5303
Other names
- Miss Elizabeth Joan Kaganda
Other providers in Jefferson Cty, MO
- Marki Burnett
- Burns Optical
- Daniel Crider
- Kristie Marie Hale
- Honor Care Network Central, LLC
- Steven J Judge
- Joseph Lobue
- Luxottica Retail North America Inc
- Pollock Psychological Services LLC
- Rehab Solutions,LLC
All providers in Jefferson Cty, MO · Home Health Aide in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. 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.