Active NPI
Sallie Thomas Jackson
- Adult Care Home Facility
- Tuscaloosa, AL
National Provider Identifier
1962306035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 2508
- Practice address
- 6601 36TH St
Tuscaloosa, AL 35401-6136 - Phone
- (205) 887-2551
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 2508 | AL | Primary |
Addresses
Primary practice location
6601 36TH St
Tuscaloosa, AL 35401-6136
Mailing address
6601 36TH St
Tuscaloosa, AL 35401-6136
Phone (205) 887-2551
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1962306035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 36TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354016136",
"telephone_number": "205-887-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 36TH ST",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354016136",
"telephone_number": "205-887-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SALLIE",
"middle_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "AL",
"license": "2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.