Organization Active NPI

Adair County SB40 Developmental Disability Board

  • Case Management Agency
  • Kirksville, MO
National Provider Identifier
1710810064
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ADAIR COUNTY SB40 DEVELOPMENTAL DISABILITY BOARD
Practice address
314 E McPherson St
Kirksville, MO 63501-3557
Phone
(660) 665-9400
Fax
(660) 665-9404
NPI assigned
Jun 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sean Jacob
Title
Executive Director
Phone
(660) 665-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

314 E McPherson St
Kirksville, MO 63501-3557

Mailing address

314 E McPherson St
Kirksville, MO 63501-3557
Phone (660) 665-9400

Other practice location 1

1107 Country Club Dr
Kirksville, MO 63501-5355
Phone (660) 665-9400 ext. 4

National Provider Directory

National Provider Directory

Locations

314 E McPherson St
Kirksville, MO 63501
Phone (660) 627-5757

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1710810064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MCPHERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013557",
            "telephone_number": "660-665-9400",
            "fax_number": "660-665-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MCPHERSON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013557",
            "telephone_number": "660-665-9400",
            "fax_number": "660-665-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1107 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635015355",
            "country_code": "US",
            "telephone_number": "660-665-9400 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADAIR COUNTY SB40 DEVELOPMENTAL DISABILITY BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "660-665-9400"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.