JACKSONSCOTT2
NPI 1154869410
Skilled Nursing Facility - Nursing Care, Pediatric in Milwaukee, WI

Q: What is Jacksonscott2's NPI number?

The NPI number for Jacksonscott2 is 1154869410. It was assigned to this organization in the NPPES registry on February 7, 2017.

Q: What is Jacksonscott2's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

Q: When was this NPI record last updated?

The NPPES record for Jacksonscott2 was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 07, 2017

4573 N. 22ND STREET, MILWAUKEE, WI 53209(414) 517-2825 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jacksonscott2 NPPES

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

JACKSONSCOTT2 (NPI 1154869410) is a healthcare organization registered as a nursing care, pediatric in Milwaukee, Wisconsin and active in the NPI registry since February 2017. The organization lists Latasha Jackson, Lpn, as its authorized official.

NPPES Registry Identity

NPI1154869410

Entity TypeOrganization

Primary Taxonomy3140N1450X

Legal Business NameJACKSONSCOTT2

Location Address4573 N. 22ND STREETMilwaukee, WI 53209

Mailing Address4573 N 22nd StMilwaukee, WI 53209-6309 · (414) 517-2825

Phone(414) 517-2825

Organization SubpartNo

Authorized OfficialLatasha JacksonLpn · (414) 517-2825

Enumeration DateFebruary 7, 2017

✔ NPI 1154869410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities

Taxonomy Code3140N1450X

License✔ Licensed in WI · 317445-31

Definition

A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

4573 N. 22ND STREET, Milwaukee, WI 53209

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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 Jacksonscott2's NPI number?

The NPI number for Jacksonscott2 is 1154869410. It was assigned to this organization in the NPPES registry on February 7, 2017.

Where is Jacksonscott2 located?

Jacksonscott2 is located at 4573 N. 22nd Street, Milwaukee, WI 53209. The listed phone number is (414) 517-2825.

What is Jacksonscott2's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Jacksonscott2 was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.