MEDICARE: SHAKARA SHIROSE JACKSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1184587834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAKARA SHIROSE JACKSON

Provider Business Mailing Address
First Line	:	2820 S ALMA SCHOOL RD STE 18
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-4394
Country	:	US
Telephone Number	:	602-736-5453
Fax Number	:

Provider Business Practice Location Address
First Line	:	2820 S ALMA SCHOOL RD STE 18
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85286-4394
Country	:	US
Telephone Number	:	602-736-5453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

Similar Medicare Providers

1841152006 — ACES 2020, LLC
Practice Location Address:

2301 E YEAGER DR STE 14
CHANDLER, AZ
85286-1578

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1598712002 — ELILTA BEREKETAB O.D.
Practice Location Address:

1175 S ARIZONA AVE
CHANDLER, AZ
85286-6504

Practice Phone: 480-726-0941
Practice Fax: 480-393-8030

1871122861 — MEGGAN ANN MURPHY ROMAN DO
Practice Location Address:

1435 S ALMA SCHOOL RD
CHANDLER, AZ
85286-7144

Practice Phone: 480-668-1600
Practice Fax: 480-668-1615

1902769094 — ABBEYS ASSISTED LIVING HOMES LLC
Practice Location Address:

1151 S SEAN DR
CHANDLER, AZ
85286-6446

Practice Phone: 623-451-7135
Practice Fax: 480-634-5414

1861804429 — DR. CHAD JOSEPH WOLSEY D.C.
Practice Location Address:

1100 S DOBSON RD STE 110
CHANDLER, AZ
85286-6158

Practice Phone: 480-662-2033
Practice Fax: 623-552-4148

1275539272 — MARILYN P BOGASH MHS
Practice Location Address:

1490 S PRICE RD , SUITE 115
CHANDLER, AZ
85286-6607

Practice Phone: 480-299-8802
Practice Fax: 480-895-8464

Directions to “ SHAKARA SHIROSE JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.