IndividualActive
Celia Anderson Jackson
NPI 1073237350 · Attendant Care Provider · Columbia, SC
Provider details
- NPI number
- 1073237350
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Community Health Worker172V00000X
Other Service Providers
- Home Health Agency251E00000X
Agencies
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Personal Care Attendant3747P1801X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
Practice location
2441 Atlas Road
Columbia, SC 29209-9744
Phone: (404) 803-3805
Approximate (ZIP-level) locationGet directions
Mailing address
127 Lateesha Rd
Hopkins, SC 29061-9744
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2024-12-04
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.