JACKSON GROUP HOME LLC
NPI 1487890786
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hannibal, MO

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

The NPI number for Jackson Group Home LLC is 1487890786. It was assigned to this organization in the NPPES registry on December 17, 2008.

Q: What is Jackson Group Home LLC'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 December 17, 2008

18 RIDGEWOOD DR, HANNIBAL, MO 63401(573) 221-4671(573) 221-4671 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Group Home Llc NPPES

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

JACKSON GROUP HOME LLC (NPI 1487890786) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hannibal, Missouri and active in the NPI registry since December 2008. The organization lists Lora L Culp, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1487890786

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameJACKSON GROUP HOME LLC

Location Address18 RIDGEWOOD DRHannibal, MO 63401-3056

Mailing Address18 Ridgewood DrHannibal, MO 63401-3056 · (573) 221-4671 · Fax (573) 221-4671

Phone(573) 221-4671

Fax(573) 221-4671

Organization SubpartNo

Authorized OfficialLora L CulpOwner/operator · (573) 221-4671

Enumeration DateDecember 17, 2008

Last NPPES UpdateApril 9, 2017

✔ NPI 1487890786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

18 RIDGEWOOD DR, Hannibal, MO 63401

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Other Providers at the Same Location NPPES

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

JACKSON GROUP HOME LLC

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

18 RIDGEWOOD DR
HANNIBAL, MO 63401

Marion County (573) 221-4671

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 Group Home LLC's NPI number?

The NPI number for Jackson Group Home LLC is 1487890786. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Jackson Group Home LLC located?

Jackson Group Home LLC is located at 18 Ridgewood Dr, Hannibal, MO 63401. The listed phone number is (573) 221-4671.

What is Jackson Group Home LLC'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 Group Home LLC was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.