Larry D Jackson in Youngstown - Personal Emergency Response Attendant
Larry D Jackson - NPI 1912928441
Larry D Jackson is a Personal Emergency Response Attendant in Youngstown, Ohio. Larry D Jackson practices all healthcare services and medical treatments related to Personal Emergency Response Attendant. The NPI Number for Larry D Jackson is 1912928441. The last update date is 2014-11-20.
Larry D Jackson's current location address is 500 Gypsy Ln, Youngstown, Ohio. You can contact this provider via phone number 3308841000. The mailing address for Larry D Jackson is 500 Gypsy Ln, Youngstown, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry D Jackson |
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Address | 500 Gypsy Ln, Youngstown, Ohio |
Phone Number | 3308841000 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1912928441 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2014-11-20 |
Provider Mailing Address Detail
Address | 500 Gypsy Ln |
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City | Youngstown |
State | Ohio (OH) |
Post Code | 445041315 |
Phone Number | 3308841000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Personal Emergency Response Attendant |
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Taxonomy | 146D00000X |
Licence No | 50000351 |
Definition: Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working thr |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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970029949 | OH | MEDICARE TRAVELERS RR-GA |
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What is the unique identifier code issued to Larry D Jackson by the Centers for Medicare & Medicaid Services?
The Larry D Jackson has been assigned the NPI (National Provider Identifier) 1912928441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Larry D Jackson by the Centers for Medicare & Medicaid Services?
The Larry D Jackson has been assigned the NPI (National Provider Identifier) 1912928441 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Larry D Jackson's facilities are situated?
The facilities of Larry D Jackson are physically located at the following address: 500 Gypsy Ln, Youngstown, OH, 445041315.
On what date did the Larry D Jackson receive the assignment of its 1912928441 from the Centers for Medicare & Medicaid Services?
The Larry D Jackson was issued its 1912928441 by the Centers for Medicare & Medicaid Services on 2006-07-21.
When was the information regarding Larry D Jackson most recently updated?
The details pertaining to the Larry D Jackson, including its address, specialty, and other relevant information, were last refreshed on 2014-11-20.