MEDICARE: HH HEALTH SYSTEM - JACKSON LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093484396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HH HEALTH SYSTEM - JACKSON LLC

Provider Business Mailing Address
First Line	:	PO BOX 51266
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70505-1266
Country	:	US
Telephone Number	:	337-233-1307
Fax Number	:	337-443-4154

Provider Business Practice Location Address
First Line	:	901 HEROES DR
Second Line	:
City	:	SCOTTSBORO
State	:	AL
Zip	:	35768-2409
Country	:	US
Telephone Number	:	256-259-4840
Fax Number	:	256-259-4830

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	CHRISTOPHER HOVANEC
Credential	:	CPA
Telephone Number	:	256-218-3680

Provider Enumeration Date	:	09/09/2021
Last Update Date	:	05/21/2025

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Directions to “HH HEALTH SYSTEM - JACKSON LLC ” Practice Location

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