OrganizationActive
Jackson Style Adult Day Care
NPI 1871779280 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grandview, MO
Provider details
- NPI number
- 1871779280
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Jackson Style LLC
- Organization subpart
- Yes
- Authorized official
- Cleotha Jackson, Administrative Assistant(816) 769-8565
- License
- 734 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 734 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
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
12707 2nd St
Grandview, MO 64030-2207
Phone: (816) 763-1078
Fax: (816) 765-9987
Street-level locationGet directions
Mailing address
12707 2nd St
Grandview, MO 64030-2207
Registry dates
- Enumerated
- 2008-01-15
- Last updated
- 2008-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.