Je-Je Jackson

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

5604 Ashleigh Park Dr
Jacksonville, FL 32244-7821

Phone

(904) 428-3182

Fax

(904) 778-9707

NPI assigned

Dec 16, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthship Associates, Inc.

  • Public Health or Welfare Agency
  • Jacksonville, FL
  • NPI 1427832369
  NPD Authorized official
• Jackson Healthcare Services, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1538632617
  NPD Authorized official
• Jackson Healthcare Services, LLC

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1952980567
  NPD Authorized official

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1982148508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5604 ASHLEIGH PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447821",
            "telephone_number": "904-428-3182",
            "fax_number": "904-778-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5604 ASHLEIGH PARK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447821",
            "telephone_number": "904-428-3182",
            "fax_number": "904-778-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JE-JE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Derand Jackson
• Helen D Jackson, LD/N
• Jacob Grant Jackson, PT, DPT, ATC
• Jaimera Jackson
• Jazmin C Jackson
• Jenna Jackson
• Jennifer Rosemary Jackson, MA
• Jerina Jackson
• Jillian Jackson, MSW
• John Jackson

• Home Health Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.