JACKSON MANOR NURSING HOME
NPI 1457342289
Skilled Nursing Facility in Jackson, MO

Q: What is Buckeye J, LLC's NPI number?

The NPI number for Buckeye J, LLC is 1457342289. It was assigned to this organization in the NPPES registry on November 1, 2005. The provider is doing business as Jackson Manor Nursing Home.

Q: What is Buckeye J, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: When was this NPI record last updated?

The NPPES record for Buckeye J, LLC was last updated on April 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 01, 2005

710 BROADRIDGE DR, JACKSON, MO 63755(573) 243-3101(573) 243-6742 Get Directions Write a Review

NPPES record last updated: April 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jackson Manor Nursing Home NPPES

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

JACKSON MANOR NURSING HOME (NPI 1457342289) is a healthcare organization registered as a skilled nursing facility in Jackson, Missouri and active in the NPI registry since November 2005. The organization lists Jay Moskowitz, President, as its authorized official.

NPPES Registry Identity

NPI1457342289

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameBUCKEYE J, LLC

Location Address710 BROADRIDGE DRJackson, MO 63755-3042

Mailing Address12136 W Bayaud Ave, Suite 200Lakewood, CO 80228-2115 · (303) 238-3838 · Fax (303) 987-0434

Phone(573) 243-3101

Fax(573) 243-6742

Organization SubpartNo

Authorized OfficialJay MoskowitzPresident · (303) 238-3838

Enumeration DateNovember 1, 2005

Last NPPES UpdateApril 25, 2016

✔ NPI 1457342289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in MO · 031659

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

710 BROADRIDGE DR, Jackson, MO 63755

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Other Names 1

Doing Business AsJackson Manor Nursing Home

Other Identifiers 2

Medicaid101456606MO

Medicare OSCAR/certification265438

Other Providers at the Same Location NPPES 6

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

MS. TAMARA L GOLDRICK LCSW

Social Worker (Clinical)