OrganizationActive
Willows of Jackson , LLC
NPI 1023829280 · Assisted Living Facility · Jackson, TN
Willows of Jackson , LLC is a Assisted Living Facility organization in Jackson, TN (NPI 1023829280).
Provider details
- NPI number
- 1023829280
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Nicholson, Owner(731) 415-9368
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
447 Cheyenne Dr
Jackson, TN 38305-3571
Phone: (731) 300-4688
Fax: (731) 300-4698
Street-level locationGet directions
Mailing address
19870 Main St E
Huntingdon, TN 38344-3927
Other names (DBA / former)
- Doing business as
- The Willows
- Doing business as
- The Willows of Jackson
Registry dates
- Enumerated
- 2025-01-16
- Last updated
- 2025-01-16
- Certified
- 2025-01-16
Frequently asked questions
- What is Willows of Jackson , LLC's NPI number?
- Willows of Jackson , LLC's National Provider Identifier (NPI) is 1023829280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willows of Jackson , LLC?
- Willows of Jackson , LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Willows of Jackson , LLC located?
- Willows of Jackson , LLC's practice location on file with NPPES is 447 Cheyenne Dr, Jackson, TN 38305-3571.
- What is Willows of Jackson , LLC's phone number?
- The practice phone number listed in the NPPES registry for Willows of Jackson , LLC is (731) 300-4688.
- Who is the authorized official for Willows of Jackson , LLC?
- The authorized official listed on Willows of Jackson , LLC's NPPES record is Larry Nicholson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willows of Jackson , LLC's NPI active?
- Yes — Willows of Jackson , LLC's NPI (1023829280) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.