Jackson Group Home

LBN: Jackson Group Home
Jackson Group Home is an health care organization with primary practice located at 325 Mckeithen Drive , Alexandria LA 71303. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Jackson Group Home can be contacted via phone (318) 473-0217, or through Bolton, Christina Bonnette via phone (318) 445-1551.

Contact Information

Primary practice address
325 Mckeithen Drive Alexandria LA 71303
Phone: (318) 473-0217
Fax: (318) 473-0256
Website:
Map and Directions
Authorized official contact:
Name: Bolton, Christina Bonnette
Phone: (318) 445-1551

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 814 Louisiana

Profile Details

NPI number 1598784647
LBN Legal business name Jackson Group Home
DBA Doing business as
Authorized official Bolton, Christina Bonnette
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2006
Last updated Nov 7th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598784647 NPPES
Louisiana Other 1713686 UNISYS

Popular Providers