GINGER JONES JACKSON (NPI# 1194368415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194368415 |
| Entity Type | Individual |
| Full Name | GINGER JONES JACKSON |
| Practice Address |
162 S Clinton St East Orange NJ 07018-3040 |
| Mailing Address |
190 Knollwood Dr Easton PA 18042-7116 |
| Practice Telephone | 9739438417 |
| Mailing Telephone | 9739438417 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
162 S CLINTON ST |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378402 | Open Arms Behavioral Health LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 S Clinton St, East Orange, NJ 07018-3040 | 2020-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062620 | Heather Taveras | Community Based Residential Treatment Facility, Mental Illness | 37 Evergreen Pl, East Orange, NJ 07018-2154 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667284 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 1253 Inwood Ter, Fort Lee, NJ 07024-1741 | 2020-10-22 |
| 1891307047 | Royalty Family Services LLC | Community Based Residential Treatment Facility, Mental Illness | 4 Acorn Ct, Sicklerville, NJ 08081-9251 | 2020-08-19 |
| 1831741479 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Rte 47 N, Cape May Court House, NJ 08210-1714 | 2019-07-14 |
| 1104478742 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 60 Taras Ave, Westville, NJ 08093-2303 | 2019-07-14 |
| 1841842481 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 767 Washington Ave, Woodbury, NJ 08096-3546 | 2019-07-14 |
| 1487206025 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 731 Rattling Run Rd, Mickleton, NJ 08056-1423 | 2019-07-14 |
| 1669024204 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 244 Tomlin Station Rd, Mullica Hill, NJ 08062-1607 | 2019-07-14 |
| 1659923290 | Acenda, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3910 Bayshore Rd Apt I11, North Cape May, NJ 08204-3662 | 2019-07-14 |
| 1699233973 | Raviko Group LLC | Community Based Residential Treatment Facility, Mental Illness | 351 Myrtle St, Cliffwood, NJ 07721-1215 | 2019-03-06 |
| 1114485489 | Jamesburg Manor LLC | Community Based Residential Treatment Facility, Mental Illness | 5 N State Home Rd, Monroe, NJ 08831-2940 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.