Active NPI
Pulaski Country Group Home
- Respite Care
- Crocker, MO
National Provider Identifier
1790806545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- PULASKI COUNTRY GROUP HOME
- Practice address
- 307 Keeth Road
Crocker, MO 65452 - Phone
- (573) 736-5603
- Fax
- (573) 736-2771
- NPI assigned
- Apr 2, 2007
- Last updated
- Sep 11, 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
- Mrs. Bobbie Jean Morris
- Title
- Administrator
- Phone
- (573) 736-5603
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
307 Keeth Road
Crocker, MO 65452
Mailing address
PO Box 662
Crocker, MO 65452-0662
Phone (573) 736-5603
National Provider Directory
National Provider Directory- Tax ID family
- Pulaski Country Group Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Crocker, MO
- NPI 1356462022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1790806545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "CROCKER",
"state": "MO",
"postal_code": "654520662",
"telephone_number": "573-736-5603",
"fax_number": "573-736-2771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 KEETH ROAD",
"city": "CROCKER",
"state": "MO",
"postal_code": "65452",
"telephone_number": "573-736-5603",
"fax_number": "573-736-2771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULASKI COUNTRY GROUP HOME",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "BOBBIE",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "573-736-5603",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crocker, MO
- Crocker School District
- Hello Transportation Services, Inc.
- Billy Joe Medlen
- Alaina Michelle Motsenbocker
- Delilah Pennington, FNP
- Pulaski County Group Home
- Pulaski County Health Department (Lake Ozark Area Home Health & Hospice)
- Pulaski County Health Department (Pulaski County Home Health Agency)
- Richland Medical Center, Inc (Central Ozarks Medical Center)
- Richland Medical Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.