JAC NURSING REGISTRY INTERNATL INC
NPI 1972756054
Custodial Care Facility - Adult Care Home in Tucker, GA

Active since November 03, 2008
4500 HUGH HOWELL RD, 320, TUCKER, GA 30084(770) 753-9070(770) 621-9433 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jac Nursing Registry Internatl Inc NPPES

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

JAC NURSING REGISTRY INTERNATL INC (NPI 1972756054) is a healthcare organization registered as an adult care home in Tucker, Georgia and active in the NPI registry since November 2008. The organization lists Chris Moody, Pracrice Manager, as its authorized official.

NPPES Registry Identity

NPI1972756054
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameJAC NURSING REGISTRY INTERNATIONAL INC
Location Address4500 HUGH HOWELL RD, 320Tucker, GA 30084-4723
Mailing Address7078 Biltmore TrceLithonia, GA 30058-2962 · (770) 753-9070 · Fax (770) 621-9433
Fax(770) 621-9433
Organization SubpartNo
Authorized OfficialChris MoodyPracrice Manager · (678) 705-2633
Enumeration DateNovember 3, 2008
NPI 1972756054 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
License Licensed in GA · 041157362
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 ListedDay Training/Habilitation SpecialistTaxonomy 373H00000X · License 041157362 (GA)
4500 HUGH HOWELL RD, Tucker, GA 30084

Other Names 1

Doing Business AsJac Nursing Registry Internatl Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 310
TUCKER, GA 30084
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084
Nursing Facility/Intermediate Care Facility
4500 HUGH HOWELL RD, 320
TUCKER, GA 30084
Family Medicine
4500 HUGH HOWELL RD, STE 220
TUCKER, GA 30084
Dentist (General Practice)
4500 HUGH HOWELL RD, SUITE 140
TUCKER, GA 30084
Speech-Language Pathologist
4500 HUGH HOWELL RD, SUITE 780
TUCKER, GA 30084
Preferred Provider Organization
4500 HUGH HOWELL RD, SUITE 380
TUCKER, GA 30084
Psychologist (Clinical)
4500 HUGH HOWELL RD, SUITE 740
TUCKER, GA 30084

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 Jac Nursing Registry International Inc's NPI number?

The NPI number for Jac Nursing Registry International Inc is 1972756054. It was assigned to this organization in the NPPES registry on November 3, 2008. The provider is doing business as Jac Nursing Registry Internatl Inc.

Where is Jac Nursing Registry International Inc located?

Jac Nursing Registry International Inc is located at 4500 Hugh Howell Rd 320, Tucker, GA 30084. The listed phone number is (770) 753-9070.

What is Jac Nursing Registry International Inc'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 Jac Nursing Registry International Inc was last updated on November 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.