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LACEY ANN SKELTON LEVEL 1 MED AIDE
NPI 1457027419
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eminence, MO

Active since August 19, 2021
18941 CR 305A, EMINENCE, MO 65466(573) 226-5426(573) 226-5426 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2021, Aug 19, 2021 (2 updates tracked since 2021).

About Lacey Ann Skelton Level 1 Med Aide NPPES

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

LACEY ANN SKELTON LEVEL 1 MED AIDE (NPI 1457027419) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Eminence, Missouri, licensed in Missouri (049124) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1457027419
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameLACEY ANN SKELTONCredential: LEVEL 1 MED AIDE
Location Address18941 CR 305AEminence, MO 65466-6268
Mailing Address18941 Cr 305aEminence, MO 65466-6268 · (573) 226-5426 · Fax (573) 226-5426
Phone(573) 226-5426
Fax(573) 226-5426
Sole ProprietorYes
Enumeration DateAugust 19, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1457027419 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
License✔ Licensed in MO · 049124
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
18941 CR 305A, Eminence, MO 65466
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Other Identifiers 1

Medicaid84-1730316MO

Other Providers at the Same Location NPPES

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

LACEY ANN SKELTON
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
18941 CR 305A
EMINENCE, MO 65466
Shannon County (573) 226-5426

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 Lacey Skelton's NPI number?

The NPI number for Lacey Skelton is 1457027419. It was assigned to this individual provider in the NPPES registry on August 19, 2021.

Where is Lacey Skelton located?

Lacey Skelton practices at 18941 Cr 305A, Eminence, MO 65466. The listed phone number is (573) 226-5426.

What is Lacey Skelton'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 Lacey Skelton was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.