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Jackson Group Home LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, MO · enumerated 2008 · authorized official Lora Culp, Owner/Operator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1487890786

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Group Home LLC
Practice address 18 Ridgewood Dr, Hannibal, MO, 63401
Phone (573) 221-4671
Fax (573) 221-4671
Enumeration date Dec 17, 2008
Last updated in NPPES Apr 9, 2017

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Lora Culp
Title Owner/Operator
Phone (573) 221-4671

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.

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Frequently asked questions

What is the NPI number for Jackson Group Home LLC?
The NPI for Jackson Group Home LLC is 1487890786, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jackson Group Home LLC?
NPPES lists Lora Culp (Owner/Operator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-09.