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Naomi Jackson
Community/Behavioral Health Agency in Cottage Grove, Minnesota
NPI 1366229122

Naomi Jackson is a Community/Behavioral Health Agency based in Cottage Grove, MN. Naomi Jackson practices in Cottage Grove, MN. The NPI Number for Naomi Jackson is 1366229122 and holds a License No. 1114922 (Minnesota).

The current practice location address for Naomi Jackson is 7691 62Nd St S, Cottage Grove, MN and can be reached out via phone at 651-447-0398.

Location: 7691 62Nd St S, Cottage Grove, MN, 55016-4676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366229122
Provider Name
Naomi Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
7691 62Nd St S, Cottage Grove, MN, 55016-4676
Phone Number
651-447-0398
Fax Number
Provider Enumeration Date
09/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7691 62Nd St S
City
Cottage Grove
State
Minnesota
Zip
55016-4676
Phone Number
651-447-0398
Fax Number
person
Provider Business Mailing Address Details
Address
7691 62Nd St S
City
Cottage Grove
State
Minnesota
Zip
55016-4676
Phone Number
651-447-0398
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1112024 (Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Foster Care Agency
Speciality
-
Taxonomy
253J00000X
License No.
1112024 (Minnesota)
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
1114922 (Minnesota)
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.
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