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

Beverly Jackson

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1871902247

Beverly Jackson is a Mental Illness Community Based Residential Treatment Facility in Gary, Indiana. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1100 W 6th Ave
Gary, IN 46402-1711
Phone: (219) 885-4264
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1871902247
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 10, 2014
Last updated in NPPESAugust 10, 2014
Mailing address1100 W 6th Ave, Gary, IN 46402-1711

Other providers in Gary