JEROME ALEXANDER-TERRELL JACKSON
NPI 1740815497
Foster Care Agency in Peoria, AZ

Q: What is Jerome Jackson's NPI number?

The NPI number for Jerome Jackson is 1740815497. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Q: What is Jerome Jackson's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerome Jackson was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 03, 2020

9680 W NORTHERN AVE UNIT 2311, PEORIA, AZ 85345(989) 980-8286(602) 455-4626 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jerome Alexander-terrell Jackson NPPES

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

JEROME ALEXANDER-TERRELL JACKSON (NPI 1740815497) is an individual foster care agency provider in Peoria, Arizona, licensed in Arizona (10195508) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1740815497

Entity TypeIndividualMale

Primary Taxonomy253J00000X

Provider Legal NameJEROME ALEXANDER-TERRELL JACKSON

Location Address9680 W NORTHERN AVE UNIT 2311Peoria, AZ 85345-4655

Mailing Address9680 W Northern Ave Unit 2311Peoria, AZ 85345-4655 · (989) 980-8286 · Fax (602) 455-4626

Phone(989) 980-8286

Fax(602) 455-4626

Sole ProprietorYes

Enumeration DateMarch 3, 2020

NPPES CertifiedMarch 3, 2020

✔ NPI 1740815497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFoster Care AgencyAgencies

Taxonomy Code253J00000X

License✔ Licensed in AZ · 10195508

Definition

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X · License 10195508 (AZ)

9680 W NORTHERN AVE UNIT 2311, Peoria, AZ 85345

Open in Google Maps ↗

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 Jerome Jackson's NPI number?

The NPI number for Jerome Jackson is 1740815497. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Jerome Jackson located?

Jerome Jackson practices at 9680 W Northern Ave Unit 2311, Peoria, AZ 85345. The listed phone number is (989) 980-8286.

What is Jerome Jackson's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Jerome Jackson was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.