Active NPI
Hubble Creek, LLC
Doing business as Hubble Creek
- Assisted Living Facility
- Jackson, MO
National Provider Identifier
1316933369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 031405
- Legal business name
- HUBBLE CREEK, LLC
- Doing business as
- Hubble Creek
Monticello House RCF - Practice address
- 1115 K Land Dr
Jackson, MO 63755-2588 - Phone
- (573) 243-8989
- Fax
- (573) 243-6836
- NPI assigned
- Sep 26, 2005
- Last updated
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ben P Sells
- Title
- Member
- Phone
- (573) 614-7472
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 031405 | MO | Primary |
Addresses
Primary practice location
1115 K Land Dr
Jackson, MO 63755-2588
Mailing address
1115 K Land Dr
Jackson, MO 63755-2588
Phone (573) 243-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16950101 | Other | MO | STATE ID |
Other names 2
- Hubble Creek
- Monticello House RCF
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Pointclickcare.com | Other |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1316933369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 K LAND DR",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552588",
"telephone_number": "573-243-8989",
"fax_number": "573-243-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 K LAND DR",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552588",
"telephone_number": "573-243-8989",
"fax_number": "573-243-6836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUBBLE CREEK, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A",
"authorized_official_last_name": "SELLS",
"authorized_official_first_name": "BEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "573-614-7472",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MO",
"license": "031405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID",
"identifier": "16950101",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Pointclickcare.com",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Point Click Care",
"address_1": "1115 K Land Dr",
"city": "Jackson",
"state": "MO",
"country_code": "US",
"postal_code": "637552588",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Hubble Creek",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Monticello House RCF",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jackson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.