QUDARRIN JACOBS – NPI #1366279002
Respite Care

QUDARRIN JACOBS is a respite care facility located in TALLULAH, LA. NPPES has assigned the NPI number 1366279002 to QUDARRIN JACOBS on September 17, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

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 QUDARRIN JACOBS below.

NPI Profile for
QUDARRIN JACOBS

NPI Number
1366279002
Enumeration Date

(about 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
QUDARRIN JACOBS
Primary location
402 E CRAIG ST
TALLULAH, LA 71282-3718
Phone: (318) 574-9009 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Sep 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
385H00000X
- Respite Care (Primary)
LA 770641488

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.