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Ms. Melody Jackson
In Home Supportive Care Agency in Philadelphia, Pennsylvania
NPI 1316601511

Melody Jackson is a In Home Supportive Care Agency based in Philadelphia, PA. Melody Jackson practices in Philadelphia, PA. The NPI Number for Melody Jackson is 1316601511 and holds a License No. 61203601 (Pennsylvania).

The current practice location address for Melody Jackson is 1667 N Allison St, Philadelphia, PA and can be reached out via phone at 267-658-9971. You can also correspond with Melody Jackson through the mailing address at 1667 N ALLISON ST, PHILADELPHIA, PA - 19131-3530 (mailing address contact number: 267-658-9971).

Location: 1667 N Allison St, Philadelphia, PA, 19131-3530
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316601511
Provider Name
Melody Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1667 N Allison St, Philadelphia, PA, 19131-3530
Phone Number
267-658-9971
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
61203601 05 PA
institution
Provider Business Practice Location Address Details
Address
1667 N Allison St
City
Philadelphia
State
Pennsylvania
Zip
19131-3530
Phone Number
267-658-9971
Fax Number
person
Provider Business Mailing Address Details
Address
1667 N Allison St
City
Philadelphia
State
Pennsylvania
Zip
19131-3530
Phone Number
267-658-9971
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
61203601 (Pennsylvania)
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
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
61203601 (Pennsylvania)
Definition
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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
61203601 (Pennsylvania)
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.
61203601 (Pennsylvania)
Definition
Definition to come.
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