Jackson Lane Adult Family Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

JACKSON LANE ADULT FAMILY HOME

Practice address

5308 Jackson LN
Pasco, WA 99301-9756

Phone

(206) 402-8182

Fax

(509) 207-7943

NPI assigned

Aug 24, 2026

Organization subpart

No

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

Authorized official

Name

Martin Njeri

Title

Provider

Phone

(206) 402-8182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1083521314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 JACKSON LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019756",
            "telephone_number": "206-402-8182",
            "fax_number": "509-207-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 JACKSON LN",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993019756",
            "telephone_number": "206-402-8182",
            "fax_number": "509-207-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON LANE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "NJERI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-402-8182"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimmeth Jack Irwin Jr.
• Gabriela Isidro
• Tamara A Iverson, PMHNP
• Yarazeth Izquierdo, LDO,ABOC , NCLEC
• J Bell M D P C
• J Kelsey Jackson, PA -C
• Jamie Allison Jacobs
• Paige Onvia Jacobson, LMP
• Jaimee Killian PLLC
• Debra Lynne James, AMOT, OTR/L

• Adult Care Home Facility in Pasco, WA
• Providers in Pasco, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.