MS. LAKESHIA MICHELLE JACKSON NPI 1881954071

NPI Information

NPI: 1881954071
Provider Name: MS. LAKESHIA MICHELLE JACKSON
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
2205 BLUE BELL TER
KEARNEY, MO
ZIP 64060
Phone: (816) 588-1343
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MS. Lakeshia Michelle Jackson is a community based residential treatment facility, intellectual and/or developmental disabilities in Kearney, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MS. Lakeshia Michelle Jackson NPI is 1881954071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2205 BLUE BELL TER
KEARNEY, MO
ZIP 64060-313
Phone: (816) 588-1343

The enumeration date for this NPI number is 5/21/2012 and was last updated on 5/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	104100000X	Social Worker		MISSOURI	No
2	171M00000X	Case Manager/Care Coordinator		MISSOURI	No
3	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	MISSOURI	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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