Organization Active NPI

Jackson Health Care LLC

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1174346993
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JACKSON HEALTH CARE LLC
Practice address
435 Metroplex Dr Ste 204
Nashville, TN 37211-3109
Phone
(615) 543-0250
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Deborah Thomison
Title
Executive Director/Owner
Phone
(615) 543-0250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

435 Metroplex Dr Ste 204
Nashville, TN 37211-3109

Mailing address

435 Metroplex Dr Ste 204
Nashville, TN 37211-3109

National Provider Directory

National Provider Directory

Locations

435 Metroplex Dr
Ste 204
Nashville, TN 37211
Phone (615) 543-0250

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1174346993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 METROPLEX DR STE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 METROPLEX DR STE 204",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113109",
            "telephone_number": "615-543-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "THOMISON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "615-543-0250"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.