Jackson Style Agency, LLC
NPI 1386701613 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Grandview, MO
Jackson Style Agency, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Grandview, MO (NPI 1386701613).
Provider details
- NPI number
- 1386701613
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Cleotha Jackson, Assistant Administrator(816) 765-9990
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2007-07-10
Frequently asked questions
- What is Jackson Style Agency, LLC's NPI number?
- Jackson Style Agency, LLC's National Provider Identifier (NPI) is 1386701613, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Style Agency, LLC?
- Jackson Style Agency, LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jackson Style Agency, LLC located?
- Jackson Style Agency, LLC's practice location on file with NPPES is 213 Blue Ridge Ext, Grandview, MO 64030-1603.
- What is Jackson Style Agency, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Style Agency, LLC is (816) 765-9990.
- Who is the authorized official for Jackson Style Agency, LLC?
- The authorized official listed on Jackson Style Agency, LLC's NPPES record is Cleotha Jackson, Assistant Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Style Agency, LLC's NPI active?
- Yes — Jackson Style Agency, LLC's NPI (1386701613) is active in the NPPES registry as of the last update on 2007-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.