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NICOLE JEFFERSON
NPI 1174023063
Residential Treatment Facility, Physical Disabilities in Seguin, TX

Active since February 16, 2018
529 GRAYSON LN, SEGUIN, TX 78155(254) 289-4071(830) 433-4219 Get Directions Write a Review

NPPES record last updated: August 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2023, Jan 27, 2021, Jan 15, 2021 and 3 more (6 updates tracked since 2018).

About Nicole Jefferson NPPES

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

NICOLE JEFFERSON (NPI 1174023063) is an individual residential treatment facility, physical disabilities provider in Seguin, Texas and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1174023063
Entity TypeIndividualFemale
Primary Taxonomy320700000X
Provider Legal NameNICOLE JEFFERSON
Location Address529 GRAYSON LNSeguin, TX 78155-3084
Mailing Address529 Grayson LnSeguin, TX 78155-3084 · (254) 289-4071 · Fax (830) 433-4219
Phone(254) 289-4071
Fax(830) 433-4219
Sole ProprietorYes
Enumeration DateFebruary 16, 2018
Last NPPES UpdateAugust 13, 20236 updates tracked since enumeration
NPPES CertifiedAugust 13, 2023
✔ NPI 1174023063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
529 GRAYSON LN, Seguin, TX 78155
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Other Names 1

Professional Name (2)Nicole Jefferson Nnj Enterprise Llc

Other Providers at the Same Location NPPES

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

NEW JOURNEY HOME & HEALTH CARE SERVICES LLC
Community Based Residential Treatment Facility, Mental Illness
529 GRAYSON LN
SEGUIN, TX 78155
Guadalupe County (254) 289-4071

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 Nicole Jefferson's NPI number?

The NPI number for Nicole Jefferson is 1174023063. It was assigned to this individual provider in the NPPES registry on February 16, 2018. The provider is also known as Nicole Jefferson Nnj Enterprise LLC.

Where is Nicole Jefferson located?

Nicole Jefferson practices at 529 Grayson Ln, Seguin, TX 78155. The listed phone number is (254) 289-4071.

What is Nicole Jefferson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Nicole Jefferson was last updated on August 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.