JACKSON OPCO, LLC
NPI 1619419272
Skilled Nursing Facility in Jackson, MI

Active since November 14, 2016CLIA 23D0679187 · Waiver
434 W NORTH ST, JACKSON, MI 49202(517) 787-3250 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 3, 2025, Nov 14, 2016 (2 updates tracked since 2016).

About Jackson Opco, Llc NPPES

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

JACKSON OPCO, LLC (NPI 1619419272), doing business as Regency At Jackson, is a healthcare organization registered as a skilled nursing facility in Jackson, Michigan and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Mohammad A Qazi, Manager, as its authorized official.

NPPES Registry Identity

NPI1619419272
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJACKSON OPCO, LLC
Location Address434 W NORTH STJackson, MI 49202-3313
Mailing Address4000 Town Ctr Ste 2000Southfield, MI 48075-1415 · (248) 386-0300
Organization SubpartNo
Authorized OfficialMohammad A QaziManager · (248) 386-0300
Enumeration DateNovember 14, 2016
Last NPPES UpdateFebruary 3, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1619419272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
434 W NORTH ST, Jackson, MI 49202

Other Names 1

Doing Business AsRegency At Jackson

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0679187

Jackson Opco, LLC Dba Allegra Nursing Rehab · Jackson, MI
Active · expires Mar 2, 2027
CLIA Number23D0679187
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorTami Thayer
Laboratory Phone(517) 787-3250
Laboratory LocationJackson Opco, LLC Dba Allegra Nursing Rehab434 W North Street, Jackson, MI 49202
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Skilled Nursing Facility
434 W NORTH ST
JACKSON, MI 49202
Occupational Therapy Assistant
434 W NORTH ST
JACKSON, MI 49202
Occupational Therapist
434 W NORTH ST
JACKSON, MI 49202
Physical Therapy Assistant
434 W NORTH ST
JACKSON, MI 49202
Physical Therapist
434 W NORTH ST
JACKSON, MI 49202
Physical Therapy Assistant
434 W NORTH ST
JACKSON, MI 49202
Physical Therapist
434 W NORTH ST
JACKSON, MI 49202

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 Opco, LLC's NPI number?

The NPI number for Jackson Opco, LLC is 1619419272. It was assigned to this organization in the NPPES registry on November 14, 2016. The provider is doing business as Regency at Jackson.

Where is Jackson Opco, LLC located?

Jackson Opco, LLC is located at 434 W North St, Jackson, MI 49202. The listed phone number is (517) 787-3250.

What is Jackson Opco, LLC's specialty?

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

Does Jackson Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0679187) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jackson Opco, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Jackson Opco, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackson Opco, LLC was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.