Individual ProviderTaimka JeffersonLicensed Practical NurseNursing Service ProvidersPractice Address224 Bennett Ave, Rochester, NY 14609-1241(585) 414-4156PECOS EnrollmentBased on the most recent information from CMS, provider Taimka Jefferson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1801136387Provider TypeIndividualFull NameJefferson, TaimkaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/21/2013Last Updated2/21/2013Contact InformationPractice LocationPractice Address224 Bennett Ave, Rochester, NY 14609-1241Phone(585) 414-4156FaxUnlisted FaxMailing LocationMailing Address224 Bennett Ave, Rochester, NY 14609-1241Phone(585) 414-4156FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense297372New York