NPIMap

Organization Active NPI

Jackson'S Professional Homecare Services

  • Child Physical Disabilities Respite Care
  • Montgomery, AL
National Provider Identifier
1679714141
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
License
06922 Issued in AL
Legal business name
JACKSON'S PROFESSIONAL HOMECARE SERVICES
Practice address
2615 E South Blvd
Montgomery, AL 36116-2509
Phone
(334) 281-0555
Fax
(334) 281-0222
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Ms. Marsha Michelle Jackson
Title
Director
Phone
(334) 281-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X 06922 AL Primary

Addresses

Primary practice location

2615 E South Blvd
Montgomery, AL 36116-2509

Mailing address

2615 E South Blvd
Montgomery, AL 36116-2509
Phone (334) 281-0555

National Provider Directory

National Provider Directory

Locations

2615 E South Blvd
Montgomery, AL 36116
Phone (334) 281-0555

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1679714141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162509",
            "telephone_number": "334-281-0555",
            "fax_number": "334-281-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E SOUTH BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162509",
            "telephone_number": "334-281-0555",
            "fax_number": "334-281-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON'S PROFESSIONAL HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-281-0555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "AL",
            "license": "06922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.