Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jacksboro Assisted Living, Inc.

Q: What is the NPI number for Jacksboro Assisted Living, Inc.?

The NPI for Jacksboro Assisted Living, Inc. is 1164640363, a Type 2 (organization) record in the CMS NPPES registry.

Assisted Living Facility in Jacksboro, TX · enumerated 2007 · authorized official Sam Jewell, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164640363

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Registry record

Entity type Organization (Type 2)

Legal business name Jacksboro Assisted Living, Inc.

Other name <Unavail>

Practice address 1116 Us Highway 148, Jacksboro, TX, 76458

Phone (940) 567-3057

Fax (940) 567-5782

Enumeration date Apr 23, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License 120111 (TX) Primary

Authorized official

Name Sam Jewell

Title President

Phone (580) 622-6300

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Jacksboro Assisted Living, Inc.?

NPPES lists Sam Jewell (President) as the authorized official for this organization.

What is the NPI number for Jacksboro Assisted Living, Inc.?

The NPI for Jacksboro Assisted Living, Inc. is 1164640363, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.