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JACKSON LAKE HOSPICE
NPI 1255417432
Hospice Care, Community Based in Macon, GA

Active since October 31, 2006
128 BRANDON WAY, MACON, GA 31210(770) 305-9393(770) 305-9662 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Lake Hospice NPPES

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

JACKSON LAKE HOSPICE (NPI 1255417432) is a healthcare organization registered as a hospice care, community based in Macon, Georgia and active in the NPI registry since October 2006. The organization lists Michael Keith Henson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255417432
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameJACKSON LAKE HOSPICE INC
Location Address128 BRANDON WAYMacon, GA 31210
Mailing AddressPo Box 1927Jackson, GA 30233-0037 · (770) 305-9393 · Fax (770) 305-9662
Phone(770) 305-9393
Fax(770) 305-9662
Organization SubpartNo
Authorized OfficialMichael Keith HensonCeo · (770) 305-9393
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255417432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
128 BRANDON WAY, Macon, GA 31210
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Other Names 1

Doing Business AsJackson Lake Hospice

Other Providers at the Same Location NPPES

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

HOME COMPANIONS PLUS, INC.
Home Health
128 BRANDON WAY
MACON, GA 31210
Bibb County (770) 305-9393

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 Lake Hospice Inc's NPI number?

The NPI number for Jackson Lake Hospice Inc is 1255417432. It was assigned to this organization in the NPPES registry on October 31, 2006. The provider is doing business as Jackson Lake Hospice.

Where is Jackson Lake Hospice Inc located?

Jackson Lake Hospice Inc is located at 128 Brandon Way, Macon, GA 31210. The listed phone number is (770) 305-9393.

What is Jackson Lake Hospice Inc's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Jackson Lake Hospice Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.