Individual provider · Type 1 NPI
Jessica Randolph
Adult Care Home Facility · Blue Springs, MO
NPI number
1922916733
Active
Practice location
1001 NW Forest Dr
Blue Springs, MO 64015-1748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1922916733
Jessica Randolph's National Provider Identifier is 1922916733, issued on Sep 1, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Blue Springs, MO. The record was last updated on Sep 1, 2026.