Jackson Independent Living, LLC.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

JACKSON INDEPENDENT LIVING, LLC.

Practice address

8643 N Teal CT
Milwaukee, WI 53223-2726

Phone

(414) 334-5791

Fax

(414) 334-5791

NPI assigned

Dec 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jihad JacksonNPI 1891224770

Title

Ceo

Phone

(414) 334-5791

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jihad Jackson

  • In Home Supportive Care Agency
  • Milwaukee, WI
  • NPI 1891224770
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1013422567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 N TEAL CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232726",
            "telephone_number": "414-334-5791",
            "fax_number": "414-334-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8643 N TEAL CT",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232726",
            "telephone_number": "414-334-5791",
            "fax_number": "414-334-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON INDEPENDENT LIVING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-06",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JIHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-334-5791"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823587205",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackie's House of Love, LLC
• Carina M Jackman, M.D.
• Eric Jackowiak, MD
• Jackson Care LLC
• Jackson House LLC
• Jackson Lab Services LLC
• Rosie Mae Jackson-Brown, RN
• Dashia Jackson-Day
• Acelia Jackson
• Adrian D. Jackson

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.