IndividualActive
Linda Jackson
NPI 1265220628 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
Provider details
- NPI number
- 1265220628
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- G01059040 (NE)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense G01059040 (NE)
Residential Treatment Facilities
Profile Score
Established profile(59/100 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
2 documented practice locations
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
1813 N 73rd St
Omaha, NE 68114-1905
Phone: (402) 557-8583
Street-level locationGet directions
Mailing address
1813 N 73rd St
Omaha, NE 68114-1905
Additional practice locations (1)
- 1805 N 73rd StOmaha, NE 68114-1905Phone: (402) 557-6583
Registry dates
- Enumerated
- 2025-04-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.