PULASKI COUNTRY GROUP HOME – NPI #1790806545
Respite Care

PULASKI COUNTRY GROUP HOME is a respite care facility located in CROCKER, MO. NPPES has assigned the NPI number 1790806545 to PULASKI COUNTRY GROUP HOME on April 02, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385H00000X from the Health Care Provider Taxonomy code set, which is classified as Respite Care.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PULASKI COUNTRY GROUP HOME below.

NPI Profile for
PULASKI COUNTRY GROUP HOME

NPI Number
1790806545
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PULASKI COUNTRY GROUP HOME
Primary location
307 KEETH ROAD
CROCKER, MO 65452
Phone: (573) 736-5603 Fax: (573) 736-2771
Mailing address
PO BOX 662
CROCKER, MO 65452-0662
Phone: (573) 736-5603 Fax: (573) 736-2771
Organization Subpart
No
Authorized Official
BOBBIE MORRIS
ADMINISTRATOR
Phone: (573) 736-5603
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
385H00000X
- Respite Care (Primary)
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.