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

Active since January 15, 2008
12707 2ND ST, GRANDVIEW, MO 64030(816) 763-1078(816) 765-9987 Get Directions Write a Review

NPPES record last updated: January 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Style Adult Day Care NPPES

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

JACKSON STYLE ADULT DAY CARE (NPI 1871779280) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Grandview, Missouri and active in the NPI registry since January 2008. The organization lists Cleotha Jackson, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1871779280
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameJACKSON STYLE ADULT DAY CARE
Location Address12707 2ND STGrandview, MO 64030-2207
Mailing Address12707 2nd StGrandview, MO 64030-2207 · (816) 763-1078 · Fax (816) 765-9987
Phone(816) 763-1078
Fax(816) 765-9987
Organization SubpartYesParent: Jackson Style Llc
Authorized OfficialCleotha JacksonAdministrative Assistant · (816) 769-8565
Enumeration DateJanuary 15, 2008
✔ NPI 1871779280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MO · 734
Definition
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.
12707 2ND ST, Grandview, MO 64030
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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 Adult Day Care's NPI number?

The NPI number for Jackson Style Adult Day Care is 1871779280. It was assigned to this organization in the NPPES registry on January 15, 2008.

Where is Jackson Style Adult Day Care located?

Jackson Style Adult Day Care is located at 12707 2nd St, Grandview, MO 64030. The listed phone number is (816) 763-1078.

What is Jackson Style Adult Day Care's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Jackson Style Adult Day Care was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.