Jackson Support Services

LBN: Jackson Support Services
Jackson Support Services is an health care organization with primary practice located at 532 Buckingham Pl , Desoto TX 75115-6111. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Nursing & Custodial Care Facilities / Adult Care Home is the primary health care specialty. Jackson Support Services can be contacted via phone (619) 846-5650, or through Jackson, Latasha via phone (619) 846-5650.

Contact Information

Primary practice address
532 Buckingham Pl Desoto TX 75115-6111
Phone: (619) 846-5650
Fax: (619) 846-5659
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Latasha
Phone: (619) 846-5650

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1164199410
LBN Legal business name Jackson Support Services
DBA Doing business as
Authorized official Jackson, Latasha
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2021
Last updated Sep 30th, 2021 - about 3 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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