JACKSON STYLE ADULT DAY CARE
NPI 1871779280
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Grandview, MO

NPI Status: Active since January 15, 2008

Contact Information

12707 2ND ST
GRANDVIEW, MO
ZIP 64030
Phone: (816) 763-1078
Fax: (816) 765-9987

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  • Organization
  • Residential Treatment Facility, Intellec...

About JACKSON STYLE ADULT DAY CARE

This page provides the complete NPI Profile along with additional information for Jackson Style Adult Day Care, a provider established in Grandview, Missouri operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1871779280 assigned on January 2008. The practitioner's primary taxonomy code is 320600000X with license number 734 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Cleotha Jackson (Administrative Assistant)

NPI
1871779280
Provider Name
JACKSON STYLE ADULT DAY CARE
Entity Type
Organization
Location Address
12707 2ND ST GRANDVIEW, MO 64030
Location Phone
(816) 763-1078
Location Fax
(816) 765-9987
Mailing Address
12707 2ND ST GRANDVIEW, MO 64030
Mailing Phone
(816) 763-1078
Mailing Fax
(816) 765-9987
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-15-2008
Last Update Date
01-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
734
License State
MO
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. CLEOTHA JACKSON

Authorized Official Title
ADMINISTRATIVE ASSISTANT
Authorized Official Phone
(816) 769-8565

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871779280, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 4 + 7 + 1 + 8 + 2 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1871779280.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871779280, enumerated as an "organization" on January 15, 2008.

The provider is located at 12707 2ND ST GRANDVIEW, MO 64030 and the phone number is (816) 763-1078.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.