Jackson's Facilities, Incorporated

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

JACKSON'S FACILITIES, INCORPORATED

Practice address

1440 Hood Rd
Sacramento, CA 95825-2311

Phone

(916) 565-1468

Fax

(916) 900-4454

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Glen Leon Jackson

Title

Treasurer

Phone

(916) 565-1468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1245929421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 HOOD RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252311",
            "telephone_number": "916-565-1468",
            "fax_number": "916-900-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 HOOD RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252311",
            "telephone_number": "916-565-1468",
            "fax_number": "916-900-4454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958332123",
            "country_code": "US",
            "telephone_number": "916-927-9850",
            "fax_number": "916-927-9850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON'S FACILITIES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "916-565-1468"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina E Jackson, RAS
• Toneyamalayshia D Jackson
• Tracey L Jackson
• Victoria Lynn Jackson, DNP, FNP-C, PA-C
• Wanda Lavina Jackson
• Breanna Lyn Jaco
• Penny Jean Jaco, MFTI
• Richard Jaco
• Dan Lemuel Directo Jacob
• Gabriel Jacob, M.D.

• Adult Care Home Facility in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.