Jackson'S Advantage Holdings Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0083430 Issued in TX

Legal business name

JACKSON'S ADVANTAGE HOLDINGS INC.

Doing business as

ADVANTAGE HOME MEDICAL

Practice address

2305 Becker Dr
Ste. B
Brenham, TX 77833-5758

Phone

(979) 836-5257

Fax

(979) 836-5258

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald B. Jackson

Title

Vice-President

Phone

(979) 836-5257

Specialties & licenses 1

Addresses

Other names 1

• ADVANTAGE HOME MEDICAL Doing business as

Locations

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053347260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 BECKER DR",
            "address_2": "STE. B",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335758",
            "telephone_number": "979-836-5257",
            "fax_number": "979-836-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 BECKER DR",
            "address_2": "STE. B",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335758",
            "telephone_number": "979-836-5257",
            "fax_number": "979-836-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON'S ADVANTAGE HOLDINGS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "979-836-5257",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0083430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shonta Renea Jackson, LPN
• Rebecca Jamar
• Shelly-Ann M. James-Perelion, LPC
• Sredha James, PHARMD
• Paul D. Jantzi, M.D.
• John T. McDonnold II DO Facep

• Durable Medical Equipment & Medical Supplies in Brenham, TX
• Providers in Brenham, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.