Active NPI
Jackson Healthcare Services, LLC
- Home Health Agency
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- JACKSON HEALTHCARE SERVICES, LLC
- Practice address
- 5604 Ashleigh Park Dr
Jacksonville, FL 32244-7821 - Phone
- (904) 428-3182
- Fax
- (904) 778-9707
- NPI assigned
- Jan 10, 2019
- Last updated
- Jan 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Je-Je W Jackson
- Title
- Owner/Manager
- Phone
- (904) 428-3182
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5604 Ashleigh Park Dr
Jacksonville, FL 32244-7821
Mailing address
5604 Ashleigh Park Dr
Jacksonville, FL 32244-7821
Phone (904) 428-3182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013844800 | Other | FL | SOLE NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Jackson Healthcare Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1952980567
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1982148508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547078400000",
"number": "1538632617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 ASHLEIGH PARK DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322447821",
"telephone_number": "904-428-3182",
"fax_number": "904-778-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 ASHLEIGH PARK DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322447821",
"telephone_number": "904-428-3182",
"fax_number": "904-778-9707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-10",
"last_updated": "2019-01-10",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JE-JE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "904-428-3182"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOLE NPI",
"identifier": "013844800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.