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

Tavon Deshane Jackson

Individual provider Home Health Agency · NPI 1518777457

Tavon Deshane Jackson is a Home Health Agency in Canton, Ohio. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

800 6th St NW Apt 2
Canton, OH 44703-2538
Phone: (330) 414-9162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X

Record details

NPI number1518777457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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