Active NPI
Jackson Family Homes, Inc.
- Community/Behavioral Health Agency
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 8301472
- Legal business name
- JACKSON FAMILY HOMES, INC.
- Practice address
- 11808 Provincetowne Dr
Charlotte, NC 28277-9165 - Phone
- (704) 846-2295
- Fax
- (704) 332-3510
- NPI assigned
- Oct 10, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Rosemary Helen Jackson, PH.D.
- Title
- President/Ceo
- Phone
- (704) 846-2295
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 8301472 | NC | Primary |
Addresses
Primary practice location
11808 Provincetowne Dr
Charlotte, NC 28277-9165
Mailing address
11808 Provincetowne Dr
Charlotte, NC 28277-9165
Phone (704) 846-2295
Other names 1
- Jackson Support Services, Inc
National Provider Directory
National Provider Directory- Tax ID family
- Jackson Family Homes Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1568652501
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.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1942529995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629166327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 PROVINCETOWNE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779165",
"telephone_number": "704-846-2295",
"fax_number": "704-332-3510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11808 PROVINCETOWNE DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779165",
"telephone_number": "704-846-2295",
"fax_number": "704-332-3510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON FAMILY HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_middle_name": "HELEN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "704-846-2295",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "8301472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jackson Support Services, Inc",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.