MS. JUDY MARIE JACKSON


Address: 5941 Wilerson Rd., Rex, GA 30273-1506
Phone: 6782841355

MS. JUDY MARIE JACKSON (NPI# 1548671316) 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) 1548671316
Entity Type Individual
Full Name MS. JUDY MARIE JACKSON
Practice Address 5941 Wilerson Rd.
Rex
GA 30273-1506
Mailing Address 5941 Wilerson Rd.
W
Rex
GA 30273-1506
Practice Telephone 6782841355
Practice Fax Number 6782841355
Mailing Telephone 6782841355
Mailing Fax Number 6782841355
Enumeration Date 2014-05-15
Last Update Date 2014-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
031-01-129-1 GA Nursing & Custodial Care Facilities

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1376512145 Judy M Jackson Radiology 1180 N. Indian Canyon Dr, Ste E218, Palm Springs, CA 92262-4800 2006-03-15
1851931026 Judy Jackson Registered Nurse 206 Gatewood Ave, High Point, NC 27262-4820 2020-01-15
1255700571 Judy Jackson Counselor 2801 Buford Hwy Ne, Suite T30, Brookhaven, GA 30329-2149 2015-09-16
1235486473 Judy Goldson Jackson Nurse Practitioner 2020 S Independence Blvd, Suite 5, Virginia Beach, VA 23453-4776 2012-08-07
1578847505 Judy Ellen Jackson Counselor 1950 N Okmulgee, Okmulgee, OK 74447-6534 2011-10-10
1629205224 Judy Jackson Marriage & Family Therapist 110 N Santa Cruz Ave, Suite C, Los Gatos, CA 95030-5919 2009-06-22

Office Location

Street Address 5941 WILERSON RD.
City REX
State GA
Zip Code 30273-1506

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043720246 Never Forgotten Transportation Non-emergency Medical Transport (VAN) 6113 Heisler St, Rex, GA 30273 2017-10-03
1235668682 Berthina Gaynell Weaver Licensed Practical Nurse 5820 Rex Ridge Loop, Rex, GA 30273 2017-06-08
1114399573 Donnita Rountree Counselor 6297 Ellenwood Drive, Rex, GA 30273 2015-10-26
1811378433 Jillian Simpson Nurse's Aide 6668 Biscayne Blvd, Rex, GA 30273 2015-06-10
1528478864 Denise Elecia Lyn-bradley Counselor 156 Hayes Circle, Rex, GA 30273 2014-05-07
1699943936 First Opportunity Home Healthcare,llc. Home Health 3113 Caliente Ln, Rex, GA 30273-1002 2008-02-20
1558370288 Lynne D Scott Marriage & Family Therapist 6188 Highway 42, Rex, GA 30273-1028 2006-08-05
1538451083 Ralph Bernard Willliams Counselor 6188 Highway 42, Rex, GA 30273-1028 2011-05-03
1780639518 Jovans Pharmacy Corp Pharmacy 6001 Highway 42, Rex, GA 30273-1030 2006-05-23
1548560964 Hope & Grace, LLC Community Based Residential Treatment Facility, Mental Illness 5860 Ronnie Dr, Rex, GA 30273-1060 2010-11-01
Find all providers in zip 30273

Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679174437 United Hands Support Services Custodial Care Facility 735 Ridge Rd, Canton, GA 30114-4170 2020-11-06
1679174429 Golden Peak Senior Living Corp Custodial Care Facility 411 Edmond St, Calhoun, GA 30701-5334 2020-11-06
1023615531 Lillian Womble Custodial Care Facility 3232 Union Church Road, Warthen, GA 31094 2020-10-07
1750995155 Jacqueline Dingle Custodial Care Facility 604 Sugarbush Cir, Savannah, GA 31406-4434 2020-09-02
1114549763 Idella's Angels Custodial Care Facility 270 13th Ave Sw, Cairo, GA 39828-3423 2020-05-16
1356962062 Brendas Love Personal Care Home LLC Custodial Care Facility 8239 Queens Dr, Jonesboro, GA 30238-2946 2020-05-04
1801421094 Lj's Personal Care Home, LLC Custodial Care Facility 415 E 18th St Sw, Rome, GA 30161-6544 2020-03-08
1356984041 Manuel Carl Mckenzie IIi Custodial Care Facility 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 2019-10-24
1457904310 Renaissance Healthcare LLC Custodial Care Facility 419 Airport Rd, Griffin, GA 30224-4834 2019-07-19
1225697873 Tahirah Johnston Custodial Care Facility 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 2019-06-07
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Competitor

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City REX
Zip Code 30273

Improve Information

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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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