Jackson Manor Nursing Home

LBN: Buckeye J, Llc
Jackson Manor Nursing Home is an health care organization with primary practice located at 710 Broadridge Dr , Jackson MO 63755-3042. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Buckeye J, Llc can be contacted via phone (573) 243-3101, or through Moskowitz, Jay via phone (303) 238-3838.

Contact Information

Primary practice address
710 Broadridge Dr Jackson MO 63755-3042
Phone: (573) 243-3101
Fax: (573) 243-6742
Website:
Map and Directions
Authorized official contact:
Name: Moskowitz, Jay
Phone: (303) 238-3838

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031659 Missouri

Profile Details

NPI number 1457342289
LBN Legal business name Buckeye J, Llc
DBA Doing business as Jackson Manor Nursing Home
Authorized official Moskowitz, Jay
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2005
Last updated Apr 25th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457342289 NPPES
Missouri MEDICAID 101456606

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