Jackson Corp
Jackson Corp is a healthcare organization registered as Skilled Nursing Facility in Chicago, IL, holding Type 2 (organization) NPI 1588816623 since 2008. The authorized official on file is Joyce Rudd, Medicare Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588816623 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Corp |
| Other name | <Unavail> |
| Practice address | 5130 W JACKSON BLVD, Chicago, IL, 60644 |
| Phone | 7739218000 |
| Fax | 7739213980 |
| Enumeration date | 2008-10-21 |
| Last updated in NPPES | 2008-10-21 |
Authorized official
| Name | Joyce Rudd |
|---|---|
| Title | Medicare Manager |
| Phone | 8477456238 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 5074210001 | IL |
Copy-ready billing details
Provider: Jackson Corp NPI: 1588816623 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 5130 W JACKSON BLVD, Chicago, IL, 60644
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1740351972 | Jackson Corp | Organization | Skilled Nursing Facility | Chicago, IL |
| 1447304431 | Doris Huang | Individual | Nurse Practitioner | Chicago, IL |
| 1255592234 | Green Healthcare Ltd. | Organization | Nurse Practitioner | Chicago, IL |
| 1356578900 | Jackson Square Skilled Nursing Aand Living | Organization | Oxygen Equipment & Supplies (DME) | Chicago, IL |
| 1740540848 | Emily Gomeztagle | Individual | Speech-Language Pathologist | Chicago, IL |
| 1235554486 | Bryan De Rosas | Individual | Occupational Therapist | Chicago, IL |
| 1881006989 | Jennifer Burns | Individual | Occupational Therapist | Chicago, IL |
| 1578941340 | Symphony Jackson Square LLC | Organization | Skilled Nursing Facility | Chicago, IL |
Verify this record
Cross-check NPI 1588816623 against the authoritative CMS record: view Jackson Corp on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Jackson Corp located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-21.