Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689451502 Individual Practitioner Female Practitioner

Kisha Elaine Jackson , CASE MANAGER

In Home Supportive Care • Lorain, OH

Professional Overview & Biography Verified Profile Summary

Kisha Jackson, CASE MANAGER is a registered healthcare professional specializing in In Home Supportive Care in Lorain, OH. Practice services are available at 1840 E 29TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1840 E 29th St

Lorain, OH 440551806

Telephone 4402581564
Associated Practice Facility / Clinic
🏢 Serenity Hhc Llc Facility NPI 1104666007

Specialty Benchmarks & Practice Insights

Comparative analytics for In Home Supportive Care in Lorain, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Lorain, OH (2205 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-16
In Home Supportive Care Primary Specialty

NUCC Taxonomy Code: 253Z00000X

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Amaree Jackson

Adult Companion

NPI 1710729694

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location May 16, 2024

Registered at 1840 E 29TH ST, LORAIN, OH 440551806 (Tel: 4402581564)

NPI Profile Active September 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2023

Registered at 17325 EUCLID AVE STE 4012, CLEVELAND, OH 441121262 (Tel: 2164383349)

📍
Updated Business Mailing Address September 13, 2023

Registered at 1840 E 29TH ST, LORAIN, OH 440551806 (Tel: 4402581564)

👤
Provider Name / Credentials Updated September 13, 2023

Recorded as KISHA JACKSON, CASE MANAGER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2023

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration September 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689451502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2023
Last Update: May 16, 2024
Sole Proprietor: Yes

Mailing Address

1840 E 29th St

Lorain, OH 440551806

Phone: 4402581564

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.