SIKESTON REGIONAL CENTER
NPI 1043386014
Day Training, Developmentally Disabled Services in Sikeston, MO

Active since November 28, 2006
112 PLAZA DR, SIKESTON, MO 63801(573) 472-5300(573) 472-5308 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Sikeston Regional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIKESTON REGIONAL CENTER (NPI 1043386014) is a healthcare organization registered as a day training, developmentally disabled services in Sikeston, Missouri and active in the NPI registry since November 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1043386014
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSTATE OF MISSOURI
Location Address112 PLAZA DRSikeston, MO 63801-5137
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Fax(573) 472-5308
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateNovember 28, 2006
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
NPI 1043386014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
License Licensed in MO · EXEMPT
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
112 PLAZA DR, Sikeston, MO 63801

Other Names 1

Doing Business AsSikeston Regional Center

Other Identifiers 1

Medicaid851793208MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
112 PLAZA DR
SIKESTON, MO 63801
Emergency Medicine
112 PLAZA DR
SIKESTON, MO 63801
Family Medicine
112 PLAZA DR
SIKESTON, MO 63801
Intermediate Care Facility, Intellectual Disabilities
112 PLAZA DR
SIKESTON, MO 63801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1043386014. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Sikeston Regional Center.

Where is State Of Missouri located?

State Of Missouri is located at 112 Plaza Dr, Sikeston, MO 63801. The listed phone number is (573) 472-5300.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.