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JACKSON SUPPORT SERVICES
NPI 1164199410
Custodial Care Facility - Adult Care Home in Desoto, TX

Active since August 25, 2021
532 BUCKINGHAM PL, DESOTO, TX 75115(619) 846-5650(619) 846-5659 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2021, Aug 25, 2021 (2 updates tracked since 2021).

About Jackson Support Services NPPES

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

JACKSON SUPPORT SERVICES (NPI 1164199410) is a healthcare organization registered as an adult care home in Desoto, Texas and active in the NPI registry since August 2021. The organization lists Latasha Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164199410
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJACKSON SUPPORT SERVICES
Location Address532 BUCKINGHAM PLDesoto, TX 75115-6111
Mailing Address532 Buckingham PlDesoto, TX 75115-6111 · (619) 845-5650
Phone(619) 846-5650
Fax(619) 846-5659
Organization SubpartNo
Authorized OfficialLatasha JacksonOwner · (619) 846-5650
Enumeration DateAugust 25, 2021
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1164199410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
532 BUCKINGHAM PL, Desoto, TX 75115
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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 Jackson Support Services's NPI number?

The NPI number for Jackson Support Services is 1164199410. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Jackson Support Services located?

Jackson Support Services is located at 532 Buckingham Pl, Desoto, TX 75115. The listed phone number is (619) 846-5650.

What is Jackson Support Services'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 Jackson Support Services was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.