1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Community Behavioral Health
  6. NPI Profile

JACKSON SUPPORT SERVICES, INC
NPI 1629166327
Community/Behavioral Health in Charlotte, NC

Active since October 10, 2006
11808 PROVINCETOWNE DR, CHARLOTTE, NC 28277(704) 846-2295(704) 332-3510 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Support Services, Inc NPPES

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

JACKSON SUPPORT SERVICES, INC (NPI 1629166327) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since October 2006. The organization lists Rosemary Helen Jackson, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1629166327
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) 846-2295 · Fax (704) 332-3510
Phone(704) 846-2295
Fax(704) 332-3510
Organization SubpartNo
Authorized OfficialRosemary Helen JacksonPresident/ceo · (704) 846-2295
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629166327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 8301472
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
Open in Google Maps ↗

Other Names 1

Other NameJackson Support Services, Inc

Other Identifiers 3

Medicaid6603382NC
Medicaid8301472NC
Medicaid6603584NC

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.

ASPIRE TO EXCELLENCE
Clinic/Center (Mental Health (Including Community Mental Health Center))
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 905-5577
JACKSON FAMILY HOMES, INC.
Community/Behavioral Health
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 905-5577
DR. ROSEMARY HELEN JACKSON PH.D.
Counselor (Mental Health)
11808 PROVINCETOWNE DR
CHARLOTTE, NC 28277
Mecklenburg County (704) 905-5577

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 1629166327. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is also known as Jackson Support Services, Inc.

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) 846-2295.

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 August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.