Jackson Home, Inc.
NPI 1285838805 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fairmont, NC
Jackson Home, Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Fairmont, NC (NPI 1285838805).
Provider details
- NPI number
- 1285838805
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Glenda Jackson, Director(910) 628-7171
- License
- MHL078158 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL078158 (NC)
Residential Treatment 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
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jackson Home, Inc.'s NPI number?
- Jackson Home, Inc.'s National Provider Identifier (NPI) is 1285838805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Home, Inc.?
- Jackson Home, Inc. is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jackson Home, Inc. located?
- Jackson Home, Inc.'s practice location on file with NPPES is 509 Holly St, Fairmont, NC 28340-1705.
- What is Jackson Home, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Jackson Home, Inc. is (910) 628-7171.
- Who is the authorized official for Jackson Home, Inc.?
- The authorized official listed on Jackson Home, Inc.'s NPPES record is Glenda Jackson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Home, Inc.'s NPI active?
- Yes — Jackson Home, Inc.'s NPI (1285838805) 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.