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Jacksonville Scc, LLC

Skilled Nursing Facility in Jacksonville, TX · enumerated 2010 · authorized official Michael Beal, Chief Executive Officer.

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

National Provider Identifier

1689993032

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Registry record

Entity type Organization (Type 2)
Legal business name Jacksonville Scc, LLC
Other name <Unavail>
Practice address 810 Bellaire St, Jacksonville, TX, 75766
Fax (903) 589-5335
Enumeration date May 25, 2010
Last updated in NPPES Mar 3, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Michael Beal
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
001018597 Medicaid TX -

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.

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Frequently asked questions

Where is Jacksonville Scc, LLC located?
The practice location on file with NPPES is in Jacksonville, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-03. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-03.