JACKSON CENTER FOR INDEPENDENT LIVING (NPI# 1861842296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861842296 |
| Entity Type | Organization |
| Organization Name | JACKSON CENTER FOR INDEPENDENT LIVING |
| Practice Address |
1981 Hollywood Dr Suite 200 Jackson TN 38305-4368 |
| Practice Telephone | 7316682211 |
| Practice Fax Number | 7316680406 |
| Mailing Telephone | 7316682211 |
| Mailing Fax Number | 7316680406 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | AUDREY BETH JAMES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7316682211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q021666 | 05 |
| Street Address |
1981 HOLLYWOOD DR SUITE 200 |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1457768814 | Genesis and Light Center | Voluntary or Charitable | 4914 N State St, Jackson, MS 39206-4046 | 2014-07-17 |
| 1700154390 | The Arc of Mississippi | Voluntary or Charitable | 7 Lakeland Cir, Suite 600, Jackson, MS 39216-5022 | 2011-12-09 |
| 1437427135 | Living Independence for Everyone of Mississippi | Voluntary or Charitable | 1304 Vine St, Jackson, MS 39202-3429 | 2011-12-08 |
| 1164633228 | Smiles and Blessings, Inc. | Voluntary or Charitable | 332 Lane Ave, Jcm High School, Jackson, TN 38301-4577 | 2007-05-24 |
| 1477930832 | Mypie Inc. | Voluntary or Charitable | 51 Greenwich Dr, Jackson, NJ 08527-4878 | 2015-05-05 |
| 1750662268 | Area Relief Ministries | Voluntary or Charitable | 108 S Church St, Jackson, TN 38301-6316 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972986792 | The Arc of Tennessee Inc | Voluntary or Charitable | 151 Athens Way, Suite 100, Nashville, TN 37228-1365 | 2015-06-30 |
| 1992193460 | George Cowan Jr. | Voluntary or Charitable | 1835 Forrest Ave, Memphis, TN 38112-5010 | 2015-01-06 |
| 1851709588 | Family Reconciliation Center | Voluntary or Charitable | 4710 Charlotte Pike, Nashville, TN 37209-3405 | 2014-07-25 |
| 1366793838 | Clincare, Inc. | Voluntary or Charitable | 1718 Church Street, Bx 331164, Nashville, TN 37203-7510 | 2012-09-25 |
| 1427319920 | Music Heals Memphis Inc. | Voluntary or Charitable | 3112 Moriah Trl Apt 108, Memphis, TN 38115-0774 | 2012-06-01 |
| 1780969444 | Catholic Charities of East Tennessee, Inc | Voluntary or Charitable | 3009 Lake Brook Blvd, Knoxville, TN 37909-1138 | 2011-10-13 |
| 1215211420 | The Center of Destiny, Inc. | Voluntary or Charitable | 7027 Millers Glen Way, Memphis, TN 38125-4184 | 2011-10-06 |
| 1124259452 | Robert Cecil Koehn Jr. | Voluntary or Charitable | 1751 Cedarcroft Dr, Clarksville, TN 37043-4302 | 2009-08-04 |
| 1053515031 | Extended Family Inc | Voluntary or Charitable | 4228 Glenroy Dr, Memphis, TN 38125-3077 | 2007-06-13 |
| 1801929617 | Faith Family Medical Clinic | Voluntary or Charitable | 326 21st Ave N, Nashville, TN 37203-1846 | 2007-03-13 |
| 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.