Provider Demographics
NPI:1194478230
Name:JACKSON 1 HOME CARE AND TRANSPORTATION INC
Entity type:Organization
Organization Name:JACKSON 1 HOME CARE AND TRANSPORTATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-990-9831
Mailing Address - Street 1:2605 RUTGERS DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2515
Mailing Address - Country:US
Mailing Address - Phone:469-990-9831
Mailing Address - Fax:
Practice Address - Street 1:2605 RUTGERS DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2515
Practice Address - Country:US
Practice Address - Phone:469-765-7362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-29
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty