Jackson Style Group Home in Grandview - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Jackson Style Group Home - NPI 1346449105
Jackson Style Group Home is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Grandview, Missouri. Jackson Style Group Home practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Jackson Style Group Home is 1346449105. The last update date is 2007-07-12.
Jackson Style Group Home's current location address is 213 Blue Ridge Ext, Grandview, Missouri. You can contact this provider via phone number 8167659990 and fax number 8167659987. The mailing address for Jackson Style Group Home is 213 Blue Ridge Ext, Grandview, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Style Group Home |
|---|---|
| Address | 213 Blue Ridge Ext, Grandview, Missouri |
| Phone Number | 8167659990 |
| Fax Number | 8167659987 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASST. ADMI |
|---|---|
| Authorized Official Name | Jackson Cleotha |
| Telephone Number | 8167659990 |
NPI Number Detail
| NPI Number | 1346449105 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
| Address | 213 Blue Ridge Ext |
|---|---|
| City | Grandview |
| State | Missouri (MO) |
| Post Code | 640301604 |
| Phone Number | 8167659990 |
| Fax Number | 8167659987 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
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What is the Jackson Style Group Home's unique identification number?
The Jackson Style Group Home has been assigned the NPI (National Provider Identifier) Number 1346449105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jackson Style Group Home is geographically located?
The Jackson Style Group Home is physically situated at the following location: 213 Blue Ridge Ext, Grandview, MO, 640301604.
What is Jackson Style Group Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jackson Style Group Home is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
When was the Jackson Style Group Home's 1346449105 issued?
The Jackson Style Group Home's 1346449105 was issued on 2007-07-12.
When was the information regarding Jackson Style Group Home, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jackson Style Group Home, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-12.
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