KENDALL JACKSON
NPI 1184557456
Substance Abuse Rehabilitation Facility in Sugar Grove, WV
About Kendall Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDALL JACKSON (NPI 1184557456) is an individual substance abuse rehabilitation facility provider in Sugar Grove, West Virginia and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUGAR GROVE, WV 26815
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 Kendall Jackson's NPI number?
The NPI number for Kendall Jackson is 1184557456. It was assigned to this individual provider in the NPPES registry on June 5, 2026.
Where is Kendall Jackson located?
Kendall Jackson practices at 133 Hedrick Dr, Sugar Grove, WV 26815. The listed phone number is (310) 910-0406.
What is Kendall Jackson's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
When was this NPI record last updated?
The NPPES record for Kendall Jackson was last updated on June 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
