OrganizationActive
Jackie R White
NPI 1922204619 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Galt, MO
Provider details
- NPI number
- 1922204619
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jackie White, Administrator(660) 673-6139
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 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
730 Ne 25th St
Galt, MO 64641-9153
Phone: (660) 673-6139
Street-level locationGet directions
Mailing address
730 Ne 25th St
Galt, MO 64641-9153
Other names (DBA / former)
- Doing business as
- White Family Isl
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2008-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.