Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Home, Inc

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1285838805

Jackson Home, Inc is an Emotionally Disturbed Childrens' Residential Treatment Facility in Fairmont, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 Holly St
Fairmont, NC 28340-1705
Phone: (910) 628-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL078158 (NC)

Record details

NPI number1285838805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenda Jackson — Director · (910) 628-7171
NPI enumeratedJune 14, 2007
Last updated in NPPESAugust 22, 2020
Mailing address509 Holly St, Fairmont, NC 28340-1705

Other providers in Fairmont