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

Mr. Ronnie Jerome Jackson

Individual provider Case Manager/Care Coordinator · NPI 1821562315

Mr. Ronnie Jerome Jackson is a Case Manager/Care Coordinator in Hollywood, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Partly verified

Some contact details are missing from the federal record.

Bhs Hollywood Recovery Center 6838 Sunset Blvd
Hollywood, CA 90028
Phone: (323) 461-3161
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Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1821562315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 17, 2019
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025
Mailing addressBhs Home Office, 15519 Crenshaw Blvd., Gardena, CA 90249

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