Charity Baker, CNA
Custodial Care Facility, Adult Care Home in Jackson, TN. Individual provider (NPI-1).
NPI number1265045223
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1265045223
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Charity Baker
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 28, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | TN | Yes |
| 253Z00000X | In Home Supportive Care | – | TN | |
| 343900000X | Non-emergency Medical Transport (VAN) | – | TN | |
| 347C00000X | Private Vehicle | – | TN | |
| 372600000X | Adult Companion | – | TN | |
| 3747A0650X | Technician, Attendant Care Provider | – | TN | |
| 3747P1801X | Technician, Personal Care Attendant | – | TN | |
| 374U00000X | Home Health Aide | – | TN | |
| 376J00000X | Homemaker | – | TN | |
| 376K00000X | Nurse's Aide | – | TN | |
| 385H00000X | Respite Care | – | TN | |
| 385HR2060X | Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | – | TN |
Practice location
677 Westwood AveJackson, TN 38301-4230
Phone 615-802-2846
Mailing address
Po Box 10504Jackson, TN 38308-0108
Phone 615-802-2846
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