Jackson House LLC

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

JACKSON HOUSE LLC

Practice address

1887 N Water St Apt 103
Milwaukee, WI 53202-1503

Phone

(414) 216-3248

NPI assigned

May 16, 2025

Last updated

May 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crissi Bates, BS,MPH

Title

Owner

Phone

(262) 393-8970

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1386435469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 N WATER ST APT 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021503",
            "telephone_number": "414-216-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 N WATER ST APT 103",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021503",
            "telephone_number": "414-216-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CRISSI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-393-8970",
        "authorized_official_credential": "BS,MPH"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Jackowiak, MD
• Jackson Care LLC
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• Jackson Lab Services LLC
• Rosie Mae Jackson-Brown, RN
• Dashia Jackson-Day
• Acelia Jackson

• Voluntary or Charitable Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.