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Jackson Support Services
Mental Illness Community Based Residential Treatment Facility in Desoto, Texas
NPI 1164199410

Jackson Support Services is a Mental Illness Community Based Residential Treatment Facility based in Desoto, TX. Jackson Support Services practices in Desoto, TX. The NPI Number for Jackson Support Services is 1164199410 and holds a License No. (Texas).

The current practice location address for Jackson Support Services is 532 Buckingham Pl, Desoto, TX and can be reached out via phone at 619-846-5650 and via fax at 619-846-5659.

Location: 532 Buckingham Pl, Desoto, TX, 75115-6111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164199410
Provider Name
Jackson Support Services
Credential
Provider Entity Type
Organization
Address
532 Buckingham Pl, Desoto, TX, 75115-6111
Phone Number
619-846-5650
Fax Number
619-846-5659
Provider Enumeration Date
08/25/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
532 Buckingham Pl
City
Desoto
State
Texas
Zip
75115-6111
Phone Number
619-846-5650
Fax Number
619-846-5659
person
Provider Business Mailing Address Details
Address
532 Buckingham Pl
City
Desoto
State
Texas
Zip
75115-6111
Phone Number
619-846-5650
Fax Number
619-846-5659
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
()
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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