Organization
JACK 1 FOUNDATION INC.
Active
Organization
JACK 1 FOUNDATION INC.
Active
Other names
Golden Triangle Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDYETTE JACKSON (FOUNDER/DIRECTOR)
(409) 719-7003
Entity
Organization
Contact information
Practice address
235 PROCTER ST., PORT ARTHUR, TX 77640
(409) 984-5720
(409) 984-5720
Mailing address
235 PROCTER ST., PORT ARTHUR, TX 77640
(409) 984-5720
(409) 984-5720
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up