JACKSON STYLE AGENCY
NPI 1346449105
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Kansas City, MO

Q: What is Jackson Style Group Home's NPI number?

The NPI number for Jackson Style Group Home is 1346449105. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Jackson Style Agency.

Q: What is Jackson Style Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since July 12, 2007

11815 BEACON AVE, KANSAS CITY, MO 64134(816) 763-8335(816) 765-9987 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jackson Style Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON STYLE AGENCY (NPI 1346449105) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Kansas City, Missouri and active in the NPI registry since July 2007. The organization lists Cleotha Jackson, Asst. Administrator, as its authorized official.

NPPES Registry Identity

NPI1346449105

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameJACKSON STYLE GROUP HOME

Location Address11815 BEACON AVEKansas City, MO 64134-3708

Mailing Address213 Blue Ridge ExtGrandview, MO 64030-1604 · (816) 765-9990 · Fax (816) 765-9987

Phone(816) 763-8335

Fax(816) 765-9987

Organization SubpartNo

Authorized OfficialCleotha JacksonAsst. Administrator · (816) 765-9990

Enumeration DateJuly 12, 2007

✔ NPI 1346449105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

11815 BEACON AVE, Kansas City, MO 64134

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Other Names 1

Doing Business AsJackson Style Agency

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIDZ CONNECTION GROUP HOME

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

11815 BEACON AVE
KANSAS CITY, MO 64134

Jackson County (816) 763-8335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Style Group Home's NPI number?

The NPI number for Jackson Style Group Home is 1346449105. It was assigned to this organization in the NPPES registry on July 12, 2007. The provider is doing business as Jackson Style Agency.

Where is Jackson Style Group Home located?

Jackson Style Group Home is located at 11815 Beacon Ave, Kansas City, MO 64134. The listed phone number is (816) 763-8335.

What is Jackson Style Group Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Jackson Style Group Home was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.