Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA RANDOLPH
NPI 1922916733
Custodial Care Facility - Adult Care Home in Blue Springs, MO

Q: What is Jessica Randolph's NPI number?

The NPI number for Jessica Randolph is 1922916733. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Q: What is Jessica Randolph's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Randolph was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.

Active since September 01, 2026

1001 NW FOREST DR, BLUE SPRINGS, MO 64015(660) 869-1913 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jessica Randolph NPPES

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

JESSICA RANDOLPH (NPI 1922916733) is an individual adult care home provider in Blue Springs, Missouri and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1922916733

Entity TypeIndividualMale

Primary Taxonomy311ZA0620X

Provider Legal NameJESSICA RANDOLPH

Location Address1001 NW FOREST DRBlue Springs, MO 64015-1748

Mailing Address1001 Nw Forest DrBlue Springs, MO 64015-1748 · (660) 869-1913

Phone(660) 869-1913

Sole ProprietorYes

Enumeration DateSeptember 1, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1922916733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

1001 NW FOREST DR, Blue Springs, MO 64015

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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 Jessica Randolph's NPI number?

The NPI number for Jessica Randolph is 1922916733. It was assigned to this individual provider in the NPPES registry on September 1, 2026.

Where is Jessica Randolph located?

Jessica Randolph practices at 1001 NW Forest Dr, Blue Springs, MO 64015. The listed phone number is (660) 869-1913.

What is Jessica Randolph's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Jessica Randolph was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.