Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carl'averis Jackson

Individual provider Home Health Aide · NPI 1104419092

Carl'averis Jackson is a Home Health Aide in Dayton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Dayton, OH

No coordinates on file. Search this address in Google Maps

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1104419092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2021
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

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