JACKSON HOUSE – NPI #1013104306
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

JACKSON HOUSE is an assisted living facility located in TALENT, OR. NPPES has assigned the NPI number 1013104306 to JACKSON HOUSE on October 01, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSON HOUSE” is a dba name, the actual legal business name for this organization is ASSISTED LIVING CONCEPTS INC. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON HOUSE below.

NPI Profile for
ASSISTED LIVING CONCEPTS INC

NPI Number
1013104306
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASSISTED LIVING CONCEPTS INC
Doing Business As (dba): JACKSON HOUSE
Primary location
300 SUNCREST ROAD
TALENT, OR 97540
Phone: (541) 512-9474 Fax: (541) 512-0321
Mailing address
W140 N8981 LILLY ROAD
ATTN LEGAL DEPARTMENT
MENOMONEE FALLS, WI 53051-2325
Phone: (262) 257-8888 Fax: (262) 251-7633
Organization Subpart
No
Authorized Official
WALTER LEVONOWICH
VICE PRESIDENT CONTROLLER
Phone: (262) 257-8888
Updated
Identifiers

Identifiers for JACKSON HOUSE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOR501136
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.