National Provider Identifier Database

JANELLA JACKSON, RN – NPI #1215561865
In Home Supportive Care

An In Home Supportive Care Agency provides services in the patient?s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.


Contact Information

JANELLA JACKSON, RN
NORTH MYRTLE BEACH BUSINESS CENTER SUITE 115
1019 HWY 17S
NORTH MYRTLE BEACH, SC29582
Phone: 843-273-5022
Fax: 843-273-5022
Website:
Specialty Taxonomy Code
* In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for JANELLA JACKSON

NPI Number 1215561865
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 02/22/2020
Last updated 08/20/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • SC License #: ICPH-1221
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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