Jackson Feild Homes
LBN: Jackson Feild Homes
Jackson Feild Homes is an health care organization with primary practice located at 546 Walnut Grove Dr , Jarratt VA 23867-8611. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Physician Assistants & Advanced Practice Nursing Providers / Medical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Jackson Feild Homes can be contacted via phone (434) 634-3217, or through Crane, Robert E via phone (434) 634-3217.
Contact Information
Primary practice address
546 Walnut Grove Dr
Jarratt VA 23867-8611
Phone: (434) 634-3217
Fax: (434) 348-3471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 278-05 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 278-05 | Virginia |
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | 1376-05-001 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Virginia |
Profile Details
| NPI number | 1265699870 |
|---|---|
| LBN Legal business name | Jackson Feild Homes |
| DBA Doing business as | |
| Authorized official | Crane, Robert E |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 21st, 2008 |
| Last updated | Jun 16th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265699870 | NPPES |
| Virginia | MEDICAID | 1376-05-001 |
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