Jackey Care's Housing

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

JACKEY CARE'S HOUSING

Practice address

2447 Boxwood St
Sacramento, CA 95815

Phone

(916) 641-1641

NPI assigned

Oct 16, 2012

Organization subpart

No

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

Authorized official

Name

Jacqueline Benton, 10,21,1962

Title

C

Phone

(916) 641-1641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1609129618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 348656",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95834",
            "telephone_number": "916-641-1641",
            "fax_number": "916-641-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 BOXWOOD ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-641-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKEY CARE'S HOUSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "C",
        "authorized_official_telephone_number": "916-641-1641",
        "authorized_official_credential": "10,21,1962"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Y Jaber, PT, DPT, CLT
• Barbara Jachniewicz, NP
• Ana Isabel Licup Jacinto
• Samantha Jacinto
• Mary Jackels, RD
• Holly Kristin Jackman
• Ahmad Malik Jacko-Duke
• Kiara Denisha Jackson Ware
• Christine Jackson-Bartolomei, RDHAP, BS
• Alysha Jackson

• Community Health Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.