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WILLOWS OF JACKSON , LLC
NPI 1023829280
Assisted Living Facility in Jackson, TN

Active since January 16, 2025
447 CHEYENNE DR, JACKSON, TN 38305(731) 300-4688(731) 300-4698 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willows Of Jackson , Llc NPPES

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

WILLOWS OF JACKSON , LLC (NPI 1023829280), doing business as The Willows, is a healthcare organization registered as an assisted living facility in Jackson, Tennessee and active in the NPI registry since January 2025. The organization lists Larry Lee Nicholson, Owner, as its authorized official.

NPPES Registry Identity

NPI1023829280
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameWILLOWS OF JACKSON , LLC
Location Address447 CHEYENNE DRJackson, TN 38305-3571
Mailing Address19870 Main St EHuntingdon, TN 38344-3927 · (731) 415-9368
Phone(731) 300-4688
Fax(731) 300-4698
Organization SubpartNo
Authorized OfficialLarry Lee NicholsonOwner · (731) 415-9368
Enumeration DateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1023829280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
447 CHEYENNE DR, Jackson, TN 38305
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Other Names 2

Doing Business AsThe Willows
Doing Business AsThe Willows Of Jackson

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 Willows Of Jackson , LLC's NPI number?

The NPI number for Willows Of Jackson , LLC is 1023829280. It was assigned to this organization in the NPPES registry on January 16, 2025. The provider is doing business as The Willows and The Willows of Jackson.

Where is Willows Of Jackson , LLC located?

Willows Of Jackson , LLC is located at 447 Cheyenne Dr, Jackson, TN 38305. The listed phone number is (731) 300-4688.

What is Willows Of Jackson , LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Willows Of Jackson , LLC was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.