JOLENE ACKLEY


Address: 500 W Marshall Ave, Gladewater, TX 75647-2110
Phone: 9034700510

JOLENE ACKLEY (NPI# 1164957692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164957692
Entity Type Individual
Full Name JOLENE ACKLEY
Practice Address 500 W Marshall Ave
Gladewater
TX 75647-2110
Practice Telephone 9034700510
Mailing Telephone 9034700510
Enumeration Date 2017-04-21
Last Update Date 2017-04-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 347C00000X Private Vehicle 07767775 TX Transportation Services

Office Location

Street Address 500 W MARSHALL AVE
City GLADEWATER
State TX
Zip Code 75647-2110

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1316559321 B &g Custom Care Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1088 Willow Oak Rd, Gladewater, TX 75647 2020-08-20
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1518173285 D&s Residential Services Intermediate Care Facility, Mentally Retarded 2402 Woodbine, Gladwater, TX 75647 2007-05-16
1407921638 Michael Ray Ellis Dentist 406 West Upshur Ave, Gladewater, TX 75647 2006-11-22
1811087356 Walker Pharmacy Pharmacy 402 B W Upshur, Gladewater, TX 75647 2006-10-13
1508953399 Legend Healthcare Gladewater, Lp Skilled Nursing Facility 1201 Fm 2685, Gladewater, TX 75647 2006-10-05
1720033517 L-m-r Health Care Services Inc Intermediate Care Facility, Mentally Retarded 502 Tenery St, Gladewater, TX 75647 2006-05-23
1093172785 Tracy Casey Nurse Practitioner 1600 Broadway Ave, Gladewater, TX 75647 2016-01-26
1851434237 Union Grove Isd Local Education Agency (LEA) Old Hwy 271 S, Gladewater, TX 75647-1447 2007-02-15
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Taxonomy Information

Taxonomy Code 347C00000X
Grouping Transportation Services
Classification Private Vehicle

Taxonomy Definition

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114528155 Aaron Wilson Private Vehicle 2408 Trailview Dr, Little Elm, TX 75068-6882 2020-11-05
1316548902 Rosie Xpress LLC Private Vehicle 904 Carolyn St, Wharton, TX 77488-5602 2020-11-02
1336751676 Akeshia Davis Private Vehicle 15622 Barton Orchard Ln, Houston, TX 77044-1963 2020-08-18
1508477365 Family Care Transportation LLC Private Vehicle 2210 Rogers Rd Unit 6206, San Antonio, TX 78251-3674 2020-08-13
1265042089 Top Source Transport, Inc. Private Vehicle 523 W Edinburg Ave., Ste. 1, Elsa, TX 78543 2020-08-06
1750909081 Wigfall Transportation LLC Private Vehicle 1508 E Belt Line Rd Ste 205, Carrollton, TX 75006-6378 2020-07-13
1467070169 Don Agbam Private Vehicle 17223 Cory Cornell Ln, Richmond, TX 77407-2962 2020-07-09
1942822903 Bettermost N.e.m.t. LLC Private Vehicle 3228 Berkley St, Houston, TX 77017-1508 2020-05-13
1609498872 Shirley Maxwell Private Vehicle 1106 Little Fox Dr, Dallas, TX 75253-5077 2020-05-11
1992325328 Nikki Bradley Private Vehicle 7902 Lake Commerce Drive, Rosenberg, TX 77469 2020-04-27
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Competitor

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City GLADEWATER
Zip Code 75647

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Dataset Information

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.

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