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PULASKI COUNTY GROUP HOME
NPI 1356462022
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Crocker, MO

Active since April 02, 2007
307 KEETH ROAD, CROCKER, MO 65452(573) 736-5603(573) 736-2771 Get Directions Write a Review

NPPES record last updated: February 17, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pulaski County Group Home NPPES

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

PULASKI COUNTY GROUP HOME (NPI 1356462022) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Crocker, Missouri and active in the NPI registry since April 2007. The organization lists Bobbie Jean Morris, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356462022
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NamePULASKI COUNTY GROUP HOME
Location Address307 KEETH ROADCrocker, MO 65452
Mailing AddressPo Box 662Crocker, MO 65452-0662 · (573) 736-5603 · Fax (573) 736-2771
Phone(573) 736-5603
Fax(573) 736-2771
Organization SubpartNo
Authorized OfficialBobbie Jean MorrisAdministrator · (573) 736-5603
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 17, 2010
✔ NPI 1356462022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X
Also ListedRespite CareTaxonomy 385H00000X
307 KEETH ROAD, Crocker, MO 65452
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Other Identifiers 1

Medicaid853890804MO

Other Providers at the Same Location NPPES

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

PULASKI COUNTRY GROUP HOME
Respite Care
307 KEETH ROAD
CROCKER, MO 65452
Pulaski County (573) 736-5603

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 Pulaski County Group Home's NPI number?

The NPI number for Pulaski County Group Home is 1356462022. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Pulaski County Group Home located?

Pulaski County Group Home is located at 307 Keeth Road, Crocker, MO 65452. The listed phone number is (573) 736-5603.

What is Pulaski County 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 Pulaski County Group Home was last updated on February 17, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.