Jackson'S Group Home in New Madrid - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jackson'S Group Home - NPI 1467575357
Jackson'S Group Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in New Madrid, Missouri. Jackson'S Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jackson'S Group Home is 1467575357. The last update date is 2020-08-22.
Jackson'S Group Home's current location address is 7570 Us Highway 61, New Madrid, Missouri. You can contact this provider via phone number 5736882228 and fax number 5376885174. The mailing address for Jackson'S Group Home is 7570 Us Highway 61, New Madrid, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson'S Group Home |
|---|---|
| Address | 7570 Us Highway 61, New Madrid, Missouri |
| Phone Number | 5736882228 |
| Fax Number | 5376885174 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Jackson Earnestine |
| Telephone Number | 5736882228 |
NPI Number Detail
| NPI Number | 1467575357 |
|---|---|
| Provider Enumeration Date | 2007-04-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7570 Us Highway 61 |
|---|---|
| City | New Madrid |
| State | Missouri (MO) |
| Post Code | 638699183 |
| Phone Number | 5736882228 |
| Fax Number | 5376885174 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique identifier code issued to Jackson'S Group Home by the Centers for Medicare & Medicaid Services?
The Jackson'S Group Home has been assigned the NPI (National Provider Identifier) 1467575357. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jackson'S Group Home's facilities are situated?
The facilities of Jackson'S Group Home are physically located at the following address: 7570 Us Highway 61, New Madrid, MO, 638699183.
What is Jackson'S Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson'S Group Home's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
When was the Jackson'S Group Home's 1467575357 issued?
The Jackson'S Group Home's 1467575357 was issued on 2007-04-07.
When was the information related to Jackson'S Group Home most recently updated or refreshed?
The details pertaining to the Jackson'S Group Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.