Jackson Style Agency, LLC
Jackson Style Agency, LLC is a healthcare organization registered as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grandview, MO, holding Type 2 (organization) NPI 1386701613 since 2007. The authorized official on file is Cleotha Jackson, Assistant Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386701613 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jackson Style Agency, LLC |
| Practice address | 213 BLUE RIDGE EXT, Grandview, MO, 64030 |
| Phone | 8167659990 |
| Fax | 8167659987 |
| Enumeration date | 2007-01-03 |
| Last updated in NPPES | 2007-07-10 |
Authorized official
| Name | Cleotha Jackson |
|---|---|
| Title | Assistant Administrator |
| Phone | 8167659990 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | Secondary | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Jackson Style Agency, LLC NPI: 1386701613 Taxonomy: 320900000X (Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility) Address: 213 BLUE RIDGE EXT, Grandview, MO, 64030
Verify this record
Cross-check NPI 1386701613 against the authoritative CMS record: view Jackson Style Agency, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Jackson Style Agency, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-10.