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Cynthia Rana Jackson
Home Health Aide in Coolidge, Arizona
NPI 1134759863

Cynthia Rana Jackson is a Home Health Aide based in Coolidge, AZ. Cynthia Rana Jackson practices in Coolidge, AZ. The NPI Number for Cynthia Rana Jackson is 1134759863 and holds a License No. (Arizona).

The current practice location address for Cynthia Rana Jackson is 1206 W Central Ave, Coolidge, AZ and can be reached out via phone at 480-886-9693.

Location: 1206 W Central Ave, Coolidge, AZ, 85128-9165
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134759863
Provider Name
Cynthia Rana Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1206 W Central Ave, Coolidge, AZ, 85128-9165
Phone Number
480-886-9693
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
468301 01 AHCCCS
institution
Provider Business Practice Location Address Details
Address
1206 W Central Ave
City
Coolidge
State
Arizona
Zip
85128-9165
Phone Number
480-886-9693
Fax Number
person
Provider Business Mailing Address Details
Address
1206 W Central Ave
City
Coolidge
State
Arizona
Zip
85128-9165
Phone Number
480-886-9693
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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