VIRGIL JACKSON NPI 1205763893

NPI Information

  • NPI: 1205763893
  • Provider Name: VIRGIL JACKSON
  • Classification: Foster Care Agency - 253J00000X
  • Entity Type: Individual
  • Address: 2507 N 187TH AVE
    ELKHORN, NE
    ZIP 68022
  • Phone: (918) 304-9225

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NPI Details

Virgil Jackson is a foster care agency in Elkhorn, NE. The provider is a Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. Virgil Jackson NPI is 1205763893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2507 N 187TH AVE
ELKHORN, NE
ZIP 68022-539
Phone: (918) 304-9225

The enumeration date for this NPI number is 5/6/2026 and was last updated on 5/6/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253J00000XFoster Care AgencyNEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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