1. Home
  2. Directory
  3. New York
  4. Far Rockaway
  5. Custodial Care Facility
  6. NPI Profile

VANESSA JACKSON
NPI 1003204678
Custodial Care Facility - Adult Care Home in Far Rockaway, NY

Active since January 05, 2015
2922 FALCON AVE, FAR ROCKAWAY, NY 11691(347) 576-9654 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vanessa Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VANESSA JACKSON (NPI 1003204678) is an individual adult care home provider in Far Rockaway, New York, licensed in New York (320584) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1003204678
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameVANESSA JACKSON
Location Address2922 FALCON AVEFar Rockaway, NY 11691-1845
Mailing Address2922 Falcon AveFar Rockaway, NY 11691-1845 · (347) 576-9654
Phone(347) 576-9654
Sole ProprietorYes
Enumeration DateJanuary 5, 2015
✔ NPI 1003204678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NY · 320584
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.
2922 FALCON AVE, Far Rockaway, NY 11691
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vanessa Jackson's NPI number?

The NPI number for Vanessa Jackson is 1003204678. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Vanessa Jackson located?

Vanessa Jackson practices at 2922 Falcon Ave, Far Rockaway, NY 11691. The listed phone number is (347) 576-9654.

What is Vanessa Jackson's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Vanessa Jackson was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.