Lacey Ann Skelton

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Eminence, MO

NPI 1306508593 · NPPES record last updated Nov 8, 2021

Key facts

NPI
1306508593
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
LACEY ANN SKELTON
Practice address
18941 CR 305a
Eminence, MO 65466-6268
Phone
(573) 226-5426
Fax
(573) 226-5426
NPI assigned
Oct 6, 2021
Organization subpart
No

Authorized official

Name
Mrs. Lacey A Skelton, LEVEL 1 MED AIDE
Title
Administrator
Phone
(573) 226-5426

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2120786Hilltop Haven Residential Care Facility
18941 CR 305a, Eminence, MO 65466
Certificate of waiverOct 24, 2026

National Provider Directory

Locations

18941 CR 305a
Eminence, MO 65466
Phone (573) 226-5426

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

18941 CR 305a
Eminence, MO 65466-6268

Mailing address

18941 CR 305a
Eminence, MO 65466-6268
Phone (573) 226-5426

Other names

  • Hilltop Haven Residential Care Facility Doing business as

Other providers in Eminence, MO

All providers in Eminence, MO · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

Sources for this page

Verify at the official NPI Registry.