JACKSON FAMILY HOMES, INC.
NPI 1568652501
Community/Behavioral Health in Charlotte, NC

Active since July 26, 2007
11808 PROVINCETOWNE DR, CHARLOTTE, NC 28277(704) 905-5577(704) 846-2295 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jackson Family Homes, Inc. NPPES

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

JACKSON FAMILY HOMES, INC. (NPI 1568652501) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since July 2007. The organization lists Rosemary Helen Jackson, Pres/ceo, as its authorized official.

NPPES Registry Identity

NPI1568652501
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJACKSON FAMILY HOMES, INC.
Location Address11808 PROVINCETOWNE DRCharlotte, NC 28277-9165
Mailing Address11808 Provincetowne DrCharlotte, NC 28277-9165 · (704) 905-5577 · Fax (704) 846-2295
Fax(704) 846-2295
Organization SubpartYesParent: Jackson Family Home, Inc.
Authorized OfficialRosemary Helen JacksonPres/ceo · (704) 905-5577
Enumeration DateJuly 26, 2007
✔ NPI 1568652501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 6603584
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
11808 PROVINCETOWNE DR, Charlotte, NC 28277

Other Identifiers 1

Medicaid8301582NC

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277
Community/Behavioral Health
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277
Counselor (Mental Health)
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277

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 Family Homes, Inc.'s NPI number?

The NPI number for Jackson Family Homes, Inc. is 1568652501. It was assigned to this organization in the NPPES registry on July 26, 2007.

Where is Jackson Family Homes, Inc. located?

Jackson Family Homes, Inc. is located at 11808 Provincetowne Dr, Charlotte, NC 28277. The listed phone number is (704) 905-5577.

What is Jackson Family Homes, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jackson Family Homes, Inc. was last updated on July 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.