Individual provider Active NPI

Jacqueline Sherard

  • In Home Supportive Care Agency
  • Marlton, NJ
National Provider Identifier
1720893753
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
10000 Lincoln Dr E Ste 201
Marlton, NJ 08053-3105
Phone
(732) 232-0781
NPI assigned
Feb 7, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10000 Lincoln Dr E Ste 201
Marlton, NJ 08053-3105

Mailing address

10000 Lincoln Dr E Ste 201
Marlton, NJ 08053-3105
Phone (732) 232-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Champion Care Solutions In Home Supportive Care Current Accepting new patients

Locations

10000 Lincoln Dr E
Ste 201
Marlton, NJ 08053
Phone (269) 830-0977

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1720893753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "732-232-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 LINCOLN DR E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533105",
            "telephone_number": "732-232-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERARD",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.