OrganizationActive
Jac Nursing Registry International Inc
NPI 1972756054 · Adult Care Home Facility · Tucker, GA
Provider details
- NPI number
- 1972756054
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Chris Moody, Pracrice Manager(678) 705-2633
- License
- 041157362 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing Service Related Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
4500 Hugh Howell Rd
320
Tucker, GA 30084-4723
Phone: (770) 753-9070
Fax: (770) 621-9433
Street-level locationGet directions
Mailing address
7078 Biltmore Trce
Lithonia, GA 30058-2962
Other names (DBA / former)
- Doing business as
- Jac Nursing Registry Internatl Inc
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2008-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.