JACKSON HOME HEALTH – NPI #1578948055
Residential Treatment Facility, Physical Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

JACKSON HOME HEALTH is a residential treatment facility (RTF) located in MONROE, LA. NPPES has assigned the NPI number 1578948055 to JACKSON HOME HEALTH on July 24, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320700000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Physical Disabilities.

The NPI profile was previously updated about 11 years ago on Sep 12, 2015. 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 HOME HEALTH below.

NPI Profile for
JACKSON HOME HEALTH

NPI Number
1578948055
Enumeration Date

(about 11 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
JACKSON HOME HEALTH
Primary location
111 PECAN LAKE ESTATE RD
MONROE, LA 71203-9383
Phone: (318) 789-4272 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHONTIA GRAY
OWNER/MANAGER
Phone: (318) 789-4272
Updated
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
320700000X
- Residential Treatment Facility, Physical Disabilities (Primary)
LA

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.