JACKSON HEALTH CARE FACILITY, LLC (NPI# 1538128095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538128095 |
| Entity Type | Organization |
| Organization Name | JACKSON HEALTH CARE FACILITY, LLC |
| Practice Address |
2616 College Ave Jackson AL 36545-2469 |
| Mailing Address |
501 Whetstone St Monroeville AL 36460-2615 |
| Practice Telephone | 2512462476 |
| Practice Fax Number | 2512462437 |
| Mailing Telephone | 2517433609 |
| Mailing Fax Number | 2515755618 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G MCABEE (CFO) |
| Authorized Official Telephone | 2517433609 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 12499 | AL | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 4753010S | 05 |
| Street Address |
2616 COLLEGE AVE |
| City | JACKSON |
| State | AL |
| Zip Code | 36545-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265674477 | Allison Garrick | Speech-Language Pathologist | 2616 College Ave, Jackson, AL 36545-2469 | 2009-04-02 |
| 1295986198 | Melissa Bryant | Physical Therapy Assistant | 2616 College Ave, Jackson, AL 36545-2469 | 2008-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487720355 | Alabama Orthopaedic Clinic, PC | Orthopaedic Surgery | 220 Hospital Ave, Jackson, AL 36545 | 2006-11-24 |
| 1871094300 | Kristin Ford Anderson | Physical Therapist | 1711 College Ave, Jackson, AL 36545 | 2018-02-21 |
| 1447567250 | Jamal Randall | Physical Therapist | 1711 College Avenue, Jackson, AL 36545-0037 | 2010-09-01 |
| 1538186846 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-07-16 |
| 1902987399 | Wal-mart Stores East, Lp | Technician/Technologist | 4206 N College Ave, Jackson, AL 36545-2019 | 2006-10-18 |
| 1285671792 | Aseracare Hospice - Jackson, LLC | Hospice Care, Community Based | 4115 N College Ave, Jackson, AL 36545-2022 | 2006-06-01 |
| 1396353363 | Health Now Jackson, LLC | Durable Medical Equipment & Medical Supplies | 3802 N College Ave Ste 107, Jackson, AL 36545-2046 | 2020-07-16 |
| 1245342070 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 215 Walker Springs Rd, Jackson, AL 36545-2136 | 2006-08-31 |
| 1851917504 | Medevac Alabama Inc | Ambulance | 3738 N College Ave, Jackson, AL 36545-2225 | 2020-06-18 |
| 1497739007 | Brian Keith Graham | Chiropractor | 1120 College Ave, Jackson, AL 36545-2405 | 2005-12-06 |
| Find all providers in zip 36545 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272970 | Michigan Visiting Care | Nursing Facility/Intermediate Care Facility | 90 Highland Dr, Jackson, MI 49201-9163 | 2010-08-10 |
| 1689603755 | Old Folks Mission Center,inc. | Nursing Facility/Intermediate Care Facility | 118 Glass St, Jackson, TN 38301-4625 | 2006-07-01 |
| 1811953656 | Northbrooke Healthcare and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 121 Physicians Dr, Jackson, TN 38305 | 2006-04-21 |
| 1891750469 | Forest Cove Nursing and Rehab Center Inc | Nursing Facility/Intermediate Care Facility | 45 Forest Cv, Jackson, TN 38301 | 2006-04-18 |
| 1891169496 | Quitman County Health & Rehab, LLC | Nursing Facility/Intermediate Care Facility | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2015-11-19 |
| 1598139248 | Tunica County Health & Rehab, LLC | Nursing Facility/Intermediate Care Facility | 13 Northtown Dr, Suite 220, Jackson, MS 39211-3047 | 2015-11-18 |
| 1407043839 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 200 Hampton Woods Complex, Jackson, NC 27845-9503 | 2007-10-01 |
| 1871694240 | Julie Larae Robbins | Nursing Facility/Intermediate Care Facility | 1500 East Woodrow Wilson Drive, Jackson, MS 39206 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467998864 | Advance Med | Nursing Facility/Intermediate Care Facility | 117 Rocky Ridge St, Carrollton, AL 35447-2139 | 2017-01-10 |
| 1568863785 | Mobile Picc Specialists | Nursing Facility/Intermediate Care Facility | 39 Ashwood Rd, Butler, AL 36904-2860 | 2014-09-07 |
| 1740552306 | Oakwoods Dream Care Assisted Living Facility LLC. | Nursing Facility/Intermediate Care Facility | 1008 Oakwood Ave Nw, Huntsville, AL 35811-1661 | 2012-01-29 |
| 1609077577 | Rtg Medical | Nursing Facility/Intermediate Care Facility | 400 N Ash Ave, Demopolis, AL 36732-2444 | 2007-05-30 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1154380632 | Crowne Health Care of Mobile, LLC | Nursing Facility/Intermediate Care Facility | 954 Navco Rd, Mobile, AL 36605-2413 | 2006-03-22 |
| 1285693762 | Evergreen Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 100 Sanders Dr, Evergreen, AL 36401-3306 | 2006-03-22 |
| 1508825076 | Crowne Health Care of Fort Payne, LLC | Nursing Facility/Intermediate Care Facility | 403 13th St Nw, Fort Payne, AL 35967-3145 | 2006-03-22 |
| 1043279532 | Crowne Health Care of Eufaula, LLC | Nursing Facility/Intermediate Care Facility | 430 Rivers Ave, Eufaula, AL 36027-1820 | 2006-03-22 |
| 1659330132 | Parkwood Health Care Facility, LLC | Nursing Facility/Intermediate Care Facility | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2006-03-22 |
| Find all providers with the same taxonomy | ||||
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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.