TRAVIS JACKSON NPI 1770450397

NPI Information

  • NPI: 1770450397
  • Provider Name: TRAVIS JACKSON
  • Classification: Adult Companion - 372600000X
  • Entity Type: Individual
  • Address: 10828 OLD MILL RD
    OMAHA, NE
    ZIP 68154
  • Phone: (402) 504-3219

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NPI Details

Travis Jackson is an adult companion in Omaha, NE. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Travis Jackson NPI is 1770450397. 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:

10828 OLD MILL RD
OMAHA, NE
ZIP 68154-647
Phone: (402) 504-3219

The enumeration date for this NPI number is 10/20/2025 and was last updated on 10/20/2025.

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
1372600000XAdult CompanionYes

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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