Jackson Park Christian Home, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0000000055 Issued in TN

Legal business name

JACKSON PARK CHRISTIAN HOME, INC.

Practice address

4107 Gallatin Pike
Nashville, TN 37216-2109

Phone

(615) 228-0356

Fax

(615) 228-3021

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

Patricia Gammel

Title

Administrator

Phone

(615) 228-0356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1417280249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 GALLATIN PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162109",
            "telephone_number": "615-228-0356",
            "fax_number": "615-228-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 GALLATIN PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372162109",
            "telephone_number": "615-228-0356",
            "fax_number": "615-228-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON PARK CHRISTIAN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "GAMMEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-228-0356"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie O'Dell
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• Jackson Anesthesia Services PC
• Jackson Health Care LLC
• Jackson Homecare Ministries 1
• Jackson Primary Care
• Carolyn Denise Jackson-Gardner, FNP-C
• Alan Jackson, DPT
• Alisha Evon Jackson, BCBA, LBA
• Amara N Jackson

• Nursing Facility/Intermediate Care Facility in Nashville, TN
• Providers in Nashville, TN by specialty
• Nursing Facility/Intermediate Care Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.