Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RONNIE JEROME JACKSON
Active Sole ProprietorMR. RONNIE JEROME JACKSON is a Day Training/Habilitation healthcare provider located in HOLLYWOOD, California. NPI 1821562315 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · HOLLYWOOD, CA
Registration Details
- NPI Number
- 1821562315
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2019 (7.390146074011 yrs)
- Last Updated
- Jun 2, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
BHS HOLLYWOOD RECOVERY CENTER6838 SUNSET BLVDHOLLYWOOD, CA, 90028Browse CA providers · Browse ZIP 90028
- Phone
- 3234613161
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Day Training/Habilitation
Other Day Training/Habilitation Providers in HOLLYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| TWYLA RUCKER | — | 1942930946 |
| TARA LYNN ROBINSON | — | 1871223891 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.