JACKSON HOME FOR VETERANS NPI 1467051631

NPI Information

NPI: 1467051631
Provider Name: JACKSON HOME FOR VETERANS
Classification: Lodging - 177F00000X
Entity Type: Organization
Address:
2633 JUNIPER DR
CHARLOTTE, NC
ZIP 28269
Phone: (704) 315-7089
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JACKSON HOME FOR VETERANS is a lodging in Charlotte, NC. The provider is a public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. JACKSON HOME FOR VETERANS NPI is 1467051631. The provider is registered as an organization entity type.

The provider's business location address is:

2633 JUNIPER DR
CHARLOTTE, NC
ZIP 28269-004
Phone: (704) 315-7089

The provider's authorized official is Levar Lafayette Jackson .
The authorized official title is Owner and has the following contact phone number (704) 315-7089.

The enumeration date for this NPI number is 10/20/2020 and was last updated on 10/23/2020.

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	Primary
1	302R00000X	Health Maintenance Organization		No
2	261QM1000X	Clinic/Center	Migrant Health	No
3	177F00000X	Lodging		Yes

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: 4/28/2024

NPI Synchronization or Removal

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