OrganizationActive
Jacksonville Care LLC
NPI 1023148434 · Custodial Care Facility · Jacksonville, NC
Provider details
- NPI number
- 1023148434
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Pierce, Managing Member(336) 643-0555
- License
- HAL-067-013 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
182 Village Dr
Jacksonville, NC 28546-7238
Phone: (910) 353-7111
Fax: (910) 353-2799
Street-level locationGet directions
Mailing address
Po Box 878
Oak Ridge, NC 27310-0878
Other names (DBA / former)
- Other name
- Light House Village
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2023-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.