NPI age
12 years
Enumerated 2014-05-21
● Active Type 2 · Organization
Jack 1 Foundation Inc.
Jack 1 Foundation Inc. is 1 of 932 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jackson
Founder/director
Last NPPES update
2014-05-21
Source: monthly bulk 2026-05
How this organization compares
Across 932 active clinic/center providers in Texas.
NPI age
12 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 13% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-05Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
235 Procter St.
Port Arthur, TX 77640
Mailing address
235 Procter St.
Port Arthur, TX 77640
Authorized official
Judyette Jackson
Founder/director
📞 4097197003
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Day Training, Developmentally Disabled ServicesThese agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
-
Respite CareDefinition to come.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Golden Triangle Adult Day Care
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.