person
Jamie Azure Lillian Jackson
In Home Supportive Care Agency in Phoenix, Arizona
NPI 1679227847

Jamie Azure Lillian Jackson is a In Home Supportive Care Agency based in Phoenix, AZ. Jamie Azure Lillian Jackson practices in Phoenix, AZ. The NPI Number for Jamie Azure Lillian Jackson is 1679227847 and holds a License No. (Arizona).

The current practice location address for Jamie Azure Lillian Jackson is 3230 E Roosevelt St Apt 221, Phoenix, AZ and can be reached out via phone at 602-638-7974. You can also correspond with Jamie Azure Lillian Jackson through the mailing address at 3230 E ROOSEVELT ST APT 221, PHOENIX, AZ - 85008-5119 (mailing address contact number: 602-638-7974).

Location: 3230 E Roosevelt St Apt 221, Phoenix, AZ, 85008-5119
person
Provider Profile Details
NPI Number
1679227847
Provider Name
Jamie Azure Lillian Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3230 E Roosevelt St Apt 221, Phoenix, AZ, 85008-5119
Phone Number
602-638-7974
Fax Number
Provider Enumeration Date
02/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3230 E Roosevelt St Apt 221
City
State
Zip
85008-5119
Phone Number
602-638-7974
Fax Number
person
Provider Business Mailing Address Details
Address
3230 E Roosevelt St Apt 221
City
State
Zip
85008-5119
Phone Number
602-638-7974
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
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
In Home Supportive Care
Speciality
-
Taxonomy
License No.
()
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
Adult Companion
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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