Latoria Jackson, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LATORIA JACKSON, LLC

Practice address

12802 Kings Lake Dr
Gibsonton, FL 33534-3907

Phone

(866) 274-4600

NPI assigned

Apr 14, 2026

Organization subpart

No

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

Authorized official

Name

Latoria Jackson

Title

Owner/Adminstrator

Phone

(866) 274-4600

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latoria Clark-Jackson, LPN

  • Licensed Practical Nurse
  • Gibsonton, FL
  • NPI 1538787353
  NPD

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1518800481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 KINGS LAKE DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343907",
            "telephone_number": "866-274-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12802 KINGS LAKE DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343907",
            "telephone_number": "866-274-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATORIA JACKSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LATORIA",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "866-274-4600"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Franchell Kenney
• Kidzone Dentistry PA
• Tamira Lavette Kinsey
• Robert Joseph Klukoff, PSY.D
• Erika Lantigua
• Ethel Lee
• Selena Chanel Bowden Lemons, LMHC, NCC, CAP
• Vilaire Lizima
• Jackeline Lourdes Martinez
• Ashia A McCorvey, LAT, ATC

• Adult Care Home Facility in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.