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Viney Jackson
Attendant Care Provider in Fort Worth, Texas
NPI 1548843527

Viney Jackson is an Attendant Care Provider based in Fort Worth, TX and is specialized in Attendant Care Provider. Viney Jackson practices in Fort Worth, TX. The NPI Number for Viney Jackson is 1548843527 and holds a License No. 20201004P (Texas).

The current practice location address for Viney Jackson is 6901 Loma Vista Dr, Fort Worth, TX and can be reached out via phone at 682-253-4807 and via fax at 682-224-2997.

Location: 6901 Loma Vista Dr, Fort Worth, TX, 76133-5649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548843527
Provider Name
Viney Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6901 Loma Vista Dr, Fort Worth, TX, 76133-5649
Phone Number
682-253-4807
Fax Number
682-224-2997
Provider Enumeration Date
04/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6901 Loma Vista Dr
City
Fort Worth
State
Texas
Zip
76133-6428
Phone Number
682-253-4807
Fax Number
682-224-2997
person
Provider Business Mailing Address Details
Address
6901 Loma Vista Dr
City
Fort Worth
State
Texas
Zip
76133-6428
Phone Number
682-253-4807
Fax Number
682-224-2997
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
20201004P (Texas)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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