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

Michael Latrelle Jackson

Individual provider Home Health Aide · NPI 1942050059

Michael Latrelle Jackson is a Home Health Aide in Rock Hill, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
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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 We do not publish it.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.

Rock Hill, SC

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Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence IHCP-2092 (SC)

Record details

NPI number1942050059
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

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