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Tangenee N Jackson
Home Health Agency in Indianapolis, Indiana
NPI 1750131710

Tangenee N Jackson is a Home Health Agency based in Indianapolis, IN. Tangenee N Jackson practices in Indianapolis, IN. The NPI Number for Tangenee N Jackson is 1750131710 and holds a License No. 24-016790-1 (Indiana).

The current practice location address for Tangenee N Jackson is 5148 Callan Dr, Indianapolis, IN and can be reached out via phone at 317-373-1921 and via fax at 317-875-1408. You can also correspond with Tangenee N Jackson through the mailing address at 5148 CALLAN DR, INDIANAPOLIS, IN - 46254-3773 (mailing address contact number: 317-373-1921).

Location: 5148 Callan Dr, Indianapolis, IN, 46254-3773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750131710
Provider Name
Tangenee N Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
5148 Callan Dr, Indianapolis, IN, 46254-3773
Phone Number
317-373-1921
Fax Number
317-875-1408
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5148 Callan Dr
City
Indianapolis
State
Indiana
Zip
46254-3773
Phone Number
317-373-1921
Fax Number
317-875-1408
person
Provider Business Mailing Address Details
Address
5148 Callan Dr
City
Indianapolis
State
Indiana
Zip
46254-3773
Phone Number
317-373-1921
Fax Number
317-875-1408
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
24-016790-1 (Indiana)
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.
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