Jackson Style Group Home
NPI 1346449105 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Kansas City, MO
Jackson Style Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Kansas City, MO (NPI 1346449105).
Provider details
- NPI number
- 1346449105
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cleotha Jackson, Asst. Administrator(816) 765-9990
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Jackson Style Agency
Registry dates
- Enumerated
- 2007-07-12
- Last updated
- 2007-07-12
Frequently asked questions
- What is Jackson Style Group Home's NPI number?
- Jackson Style Group Home's National Provider Identifier (NPI) is 1346449105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Style Group Home?
- Jackson Style Group Home is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jackson Style Group Home located?
- Jackson Style Group Home's practice location on file with NPPES is 11815 Beacon Ave, Kansas City, MO 64134-3708.
- What is Jackson Style Group Home's phone number?
- The practice phone number listed in the NPPES registry for Jackson Style Group Home is (816) 763-8335.
- Who is the authorized official for Jackson Style Group Home?
- The authorized official listed on Jackson Style Group Home's NPPES record is Cleotha Jackson, Asst. Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Style Group Home's NPI active?
- Yes — Jackson Style Group Home's NPI (1346449105) is active in the NPPES registry as of the last update on 2007-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.