Jackson Center For Independent Living

LBN: Jackson Center For Independent Living
Jackson Center For Independent Living is an health care organization with primary practice located at 1981 Hollywood Dr Suite 200, Jackson TN 38305-4368. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Jackson Center For Independent Living can be contacted via phone (731) 668-2211, or through James, Audrey Beth via phone (731) 668-2211.

Contact Information

Primary practice address
1981 Hollywood Dr Suite 200 Jackson TN 38305-4368
Phone: (731) 668-2211
Fax: (731) 668-0406
Website:
Map and Directions
Authorized official contact:
Name: James, Audrey Beth
Phone: (731) 668-2211

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1861842296
LBN Legal business name Jackson Center For Independent Living
DBA Doing business as
Authorized official James, Audrey Beth
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 16th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861842296 NPPES
Tennessee MEDICAID Q021666

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