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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MR. ANDRE LEE JACKSON
NPI 1316865744
Substance Abuse Rehabilitation Facility in Omaha, NE

Active since July 06, 2026
2115 N 27TH ST, OMAHA, NE 68111(402) 949-8534 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Andre Lee Jackson NPPES

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

MR. ANDRE LEE JACKSON (NPI 1316865744) is an individual substance abuse rehabilitation facility provider in Omaha, Nebraska and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1316865744
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. ANDRE LEE JACKSON
Location Address2115 N 27TH STOmaha, NE 68111-4337
Mailing Address2115 N 27th StOmaha, NE 68111-4337 · (402) 949-8534
Phone(402) 949-8534
Sole ProprietorYes
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1316865744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedTransportation Network CompanyTaxonomy 342000000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedRespite CareTaxonomy 385H00000X
2115 N 27TH ST, Omaha, NE 68111
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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 Andre Jackson's NPI number?

The NPI number for Andre Jackson is 1316865744. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Andre Jackson located?

Andre Jackson practices at 2115 N 27th St, Omaha, NE 68111. The listed phone number is (402) 949-8534.

What is Andre 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 Andre Jackson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.