JACK 1 FOUNDATION INC. NPI 1396157681

NPI Information

  • NPI: 1396157681
  • Provider Name: JACK 1 FOUNDATION INC.
  • Classification: Clinic/Center - 261QA0600X
  • Specialization: Adult Day Care
  • Entity Type: Organization
  • Doing Business As: GOLDEN TRIANGLE ADULT DAY CARE
  • Address: 235 PROCTER ST.
    PORT ARTHUR, TX
    ZIP 77640
  • Phone: (409) 984-5720

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NPI Details

JACK 1 FOUNDATION INC. is an adult day care clinic center in Port Arthur, TX. JACK 1 FOUNDATION INC. NPI is 1396157681. The provider is registered as an organization entity type.
The provider Is Doing Business As Golden Triangle Adult Day Care.

The provider's business location address is:

235 PROCTER ST.
PORT ARTHUR, TX
ZIP 77640
Phone: (409) 984-5720
Fax: (409) 984-5720

The provider's authorized official is Judyette Jackson .
The authorized official title is Founder/director and has the following contact phone number (409) 719-7003.

The enumeration date for this NPI number is 5/21/2014 and was last updated on 5/21/2014.

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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2385H00000XRespite CareNo
3261QA0600XClinic/CenterAdult Day CareYes

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

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