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JACKSON HOME HEALTH NPI 1578948055


NPI Information

NPI: 1578948055
Provider Name: JACKSON HOME HEALTH
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
111 PECAN LAKE ESTATE RD
MONROE, LA
ZIP 71203
Phone: (318) 789-4272
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JACKSON HOME HEALTH is a residential treatment facility physical disabilities in Monroe, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. JACKSON HOME HEALTH NPI is 1578948055. The provider is registered as an organization entity type.

The provider's business location address is:

111 PECAN LAKE ESTATE RD
MONROE, LA
ZIP 71203-383
Phone: (318) 789-4272

The provider's authorized official is Shontia Latoyia Gray .
The authorized official title is Owner/manager and has the following contact phone number (318) 789-4272.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 9/12/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesLOUISIANAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.