Organization Active NPI

Hubble Creek, LLC

Doing business as Hubble Creek

  • Assisted Living Facility
  • Jackson, MO
National Provider Identifier
1316933369
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
031405 Issued in MO
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16950101OtherMOSTATE ID

Other names 2

  • Hubble Creek Doing business as
  • Monticello House RCF Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Pointclickcare.com Other

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.