Organization Active NPI

Nurse Jackson Non Medical Care LLC

  • Home Health Agency
  • Eufaula, AL
National Provider Identifier
1851158463
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NURSE JACKSON NON MEDICAL CARE LLC
Practice address
110 E Broad St
Eufaula, AL 36027-2024
Phone
(334) 845-0116
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mrs. Erica J JacksonNPI 1225716525
Title
LPN
Phone
(334) 845-0116

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

110 E Broad St
Eufaula, AL 36027-2024

Mailing address

111 Walding Dr
Eufaula, AL 36027-3434
Phone (334) 845-0116

National Provider Directory

National Provider Directory

Locations

201 Monroe St
Ste 350ACT
Montgomery, AL 36104

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1851158463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WALDING DR",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360273434",
            "telephone_number": "334-845-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROAD ST",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360272024",
            "telephone_number": "334-845-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE JACKSON NON MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "334-845-0116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.