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

Jackson House LLC

Organization Voluntary or Charitable Agency · NPI 1386435469

Jackson House LLC is a Voluntary or Charitable Agency in Milwaukee, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1887 N Water St Apt 103
Milwaukee, WI 53202-1503
Phone: (414) 216-3248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Voluntary or Charitable Agency (primary) Taxonomy 251V00000X

Record details

NPI number1386435469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crissi Bates — Owner · (262) 393-8970
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing address1887 N Water St Apt 103, Milwaukee, WI 53202-1503

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