JKK, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JKK, INC.

Doing business as

Pineland Personal Care Home Als

Practice address

235 Broxton Hwy
Hazlehurst, GA 31539-7089

Phone

(912) 379-9009

NPI assigned

Jun 3, 2026

Last updated

Jun 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Pettis

Title

President

Phone

(478) 714-0246

Specialties & licenses 1

Addresses

Other names 1

• PINELAND PERSONAL CARE HOME ALS Doing business as

Locations

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1932032794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 BROXTON HWY",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315397089",
            "telephone_number": "912-379-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BROXTON HWY",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315397089",
            "telephone_number": "912-379-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-714-0246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINELAND PERSONAL CARE HOME ALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Hazlehurst, GA
• Providers in Hazlehurst, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.