Jacksboro Assisted Living, Inc.
NPI 1164640363 · Assisted Living Facility · Jacksboro, TX
Jacksboro Assisted Living, Inc. is a Assisted Living Facility organization in Jacksboro, TX (NPI 1164640363).
Provider details
- NPI number
- 1164640363
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Sam Jewell, President(580) 622-6300
- License
- 120111 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Greystone Park
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jacksboro Assisted Living, Inc.'s NPI number?
- Jacksboro Assisted Living, Inc.'s National Provider Identifier (NPI) is 1164640363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksboro Assisted Living, Inc.?
- Jacksboro Assisted Living, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Jacksboro Assisted Living, Inc. located?
- Jacksboro Assisted Living, Inc.'s practice location on file with NPPES is 1116 US Highway 148, Jacksboro, TX 76458-3439.
- What is Jacksboro Assisted Living, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jacksboro Assisted Living, Inc. is (940) 567-3057.
- Who is the authorized official for Jacksboro Assisted Living, Inc.?
- The authorized official listed on Jacksboro Assisted Living, Inc.'s NPPES record is Sam Jewell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksboro Assisted Living, Inc.'s NPI active?
- Yes — Jacksboro Assisted Living, Inc.'s NPI (1164640363) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.