JACKSON HOMECARE MINISTRIES 1


Address: 321 Rural Hill Rd, 323 Rural Hill Rd, Nashville, TN 37217-3834
Phone: 6156424665

JACKSON HOMECARE MINISTRIES 1 (NPI# 1912278110) 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) 1912278110
Entity Type Organization
Organization Name JACKSON HOMECARE MINISTRIES 1
Other Organization Name JACKSON HOMECARE MINISTRIES 2
Practice Address 321 Rural Hill Rd
323 Rural Hill Rd
Nashville
TN 37217-3834
Mailing Address 310 Rural Hill Ct
B
Nashville
TN 37217-3815
Practice Telephone 6156424665
Practice Fax Number 6153675007
Mailing Telephone 6156424665
Mailing Fax Number 6153675007
Enumeration Date 2012-01-19
Last Update Date 2013-11-12
Authorized Official Name MR. L V NONE JACKSON (ADMINISTRATOR)
Authorized Official Telephone 6156424665
Authorized Official Credential C EO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center L000000012559;12 TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN ALYSSA44 05

Other Provider/Organization Names

Other Name Type Code
Jackson HomeCare Ministries 2 Doing Business As Name - Organization

Office Location

Street Address 321 RURAL HILL RD
323 RURAL HILL RD
City NASHVILLE
State TN
Zip Code 37217-3834

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1396211108 Nihc LLC Clinic/Center 210 25th Ave N # 521, Nashville, TN 37203-1606 2018-10-18
1922557792 Ssss Clinic/Center 902 Pecan St, Nashville, GA 31639-1220 2016-09-22
1326497512 Tennessee Neurodiagnostics, LLC Clinic/Center 424 Church St., Ste. 2000, Office 2006, Nashville, TN 37219 2016-06-08
1487029997 Vanderbilt University Medical Center Clinic/Center 1301 Medical Center Dr # 1710, Nashville, TN 37232-0028 2015-12-09
1447591649 Hospital Authority of Valdosta and Lowndes County, Georgia Clinic/Center 603 E Dennis Ave, Nashville, GA 31639-2510 2013-03-13
1710266192 Stone Urgent Care and Occupational. Clinic/Center 3708 Nolensville Pike, Suite D, Nashville, TN 37211-3329 2011-08-16
1790064954 Employment & Assessment Solutions, Inc Clinic/Center 1645 Murfreesboro Rd, Suite H, Nashville, TN 37217-2936 2011-08-05
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Competitor

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City NASHVILLE
Zip Code 37217

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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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