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LATORIA JACKSON, LLC
NPI 1518800481
Custodial Care Facility - Adult Care Home in Gibsonton, FL

Active since April 14, 2026
12802 KINGS LAKE DR, GIBSONTON, FL 33534(866) 274-4600 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Latoria Jackson, Llc NPPES

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

LATORIA JACKSON, LLC (NPI 1518800481) is a healthcare organization registered as an adult care home in Gibsonton, Florida and active in the NPI registry since April 2026. The organization lists Latoria Jackson, Owner/adminstrator, as its authorized official.

NPPES Registry Identity

NPI1518800481
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLATORIA JACKSON, LLC
Location Address12802 KINGS LAKE DRGibsonton, FL 33534-3907
Mailing Address12802 Kings Lake DrGibsonton, FL 33534-3907 · (866) 274-4600
Phone(866) 274-4600
Organization SubpartNo
Authorized OfficialLatoria JacksonOwner/adminstrator · (866) 274-4600
Enumeration DateApril 14, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1518800481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedLicensed Practical NurseTaxonomy 164W00000X
12802 KINGS LAKE DR, Gibsonton, FL 33534
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LATORIA CLARK-JACKSON LPN
Licensed Practical Nurse
12802 KINGS LAKE DR
GIBSONTON, FL 33534
Hillsborough County (813) 400-4038

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 Latoria Jackson, LLC's NPI number?

The NPI number for Latoria Jackson, LLC is 1518800481. It was assigned to this organization in the NPPES registry on April 14, 2026.

Where is Latoria Jackson, LLC located?

Latoria Jackson, LLC is located at 12802 Kings Lake Dr, Gibsonton, FL 33534. The listed phone number is (866) 274-4600.

What is Latoria Jackson, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Latoria Jackson, LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.