Jack and Jill Transitional Living Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

JACK AND JILL TRANSITIONAL LIVING INC.

Practice address

12891 Woodward Ave
Highland Park, MI 48203-3315

Phone

(313) 782-5553

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jillian Nicole Swanson

Title

President/Owner

Phone

(313) 782-5553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1083060479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12891 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033315",
            "telephone_number": "313-782-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12891 WOODWARD AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033315",
            "telephone_number": "313-782-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK AND JILL TRANSITIONAL LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "313-782-5553",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretha Hunter, MA, SW
• Debra T Hursey-Lee, BACHELOR
• Imagine U
• Lasheekie Yolanda Irving
• Dina Louise Ivy, LPN
• Ariel Jackson, RN
• Faye Yvette Jackson
• Roderick O. Jackson, C.P.S.S.
• Jagneswar Saha DO PC
• Jagneswar Saha DO PC

• Developmentally Disabled Services Day Training Agency in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.