Jackson Group Home LLC
NPI 1588946370 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hannibal, MO
Jackson Group Home LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Hannibal, MO (NPI 1588946370).
Provider details
- NPI number
- 1588946370
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Lora Culp, Owner/Operator(573) 221-4671
- License
- 2500-12463 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 2500-12463 (MO)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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)
- Former legal business name
- Jackson Group Home
Registry dates
- Enumerated
- 2011-09-16
- Last updated
- 2017-04-09
Frequently asked questions
- What is Jackson Group Home LLC's NPI number?
- Jackson Group Home LLC's National Provider Identifier (NPI) is 1588946370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Group Home LLC?
- Jackson Group Home LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Jackson Group Home LLC located?
- Jackson Group Home LLC's practice location on file with NPPES is 18 Ridgewood Dr, Hannibal, MO 63401-3056.
- What is Jackson Group Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Group Home LLC is (573) 221-4671.
- Who is the authorized official for Jackson Group Home LLC?
- The authorized official listed on Jackson Group Home LLC's NPPES record is Lora Culp, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Group Home LLC's NPI active?
- Yes — Jackson Group Home LLC's NPI (1588946370) is active in the NPPES registry as of the last update on 2017-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.