1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. In Home Supportive Care
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSON INDEPENDENT LIVING, LLC.
NPI 1013422567
In Home Supportive Care in Milwaukee, WI

Active since December 06, 2017
8643 N TEAL CT, MILWAUKEE, WI 53223(414) 334-5791(414) 334-5791 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Dec 6, 2017 (2 updates tracked since 2017).

About Jackson Independent Living, Llc. NPPES

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

JACKSON INDEPENDENT LIVING, LLC. (NPI 1013422567) is a healthcare organization registered as an in home supportive care in Milwaukee, Wisconsin and active in the NPI registry since December 2017. The organization lists Jihad Jackson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013422567
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameJACKSON INDEPENDENT LIVING, LLC.
Location Address8643 N TEAL CTMilwaukee, WI 53223-2726
Mailing Address8643 N Teal CtMilwaukee, WI 53223-2726 · (414) 334-5791 · Fax (414) 334-5791
Phone(414) 334-5791
Fax(414) 334-5791
Organization SubpartNo
Authorized OfficialJihad JacksonCeo · (414) 334-5791
Enumeration DateDecember 6, 2017
Last NPPES UpdateJune 19, 20262 updates tracked since enumeration
NPPES CertifiedJune 19, 2026
✔ NPI 1013422567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
8643 N TEAL CT, Milwaukee, WI 53223
Open in Google Maps ↗

Other Identifiers 1

Medicaid823587205WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JIHAD JACKSON
In Home Supportive Care
8643 N TEAL CT
MILWAUKEE, WI 53223
Milwaukee County (414) 334-5791

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 Jackson Independent Living, LLC.'s NPI number?

The NPI number for Jackson Independent Living, LLC. is 1013422567. It was assigned to this organization in the NPPES registry on December 6, 2017.

Where is Jackson Independent Living, LLC. located?

Jackson Independent Living, LLC. is located at 8643 N Teal Ct, Milwaukee, WI 53223. The listed phone number is (414) 334-5791.

What is Jackson Independent Living, LLC.'s specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Jackson Independent Living, LLC. was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.