Jerome Alexander-Terrell Jackson
NPI 1740815497ActiveIndividual· Foster Care Agency· Peoria, AZ
Foster Care Agency in Peoria, Arizona, licensed in AZ, with an NPI issued in March 2020.
Overview
| NPI | 1740815497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 3, 2020 |
| Last updated in NPPES | Mar 3, 2020 |
| Certified by provider | Mar 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Foster Care Agency Primary | 253J00000X | 10195508 | AZ |
| Respite Care, Respite Care, Mental Illness, Child | 385HR2055X | 10195508 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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