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SON SHINE HOME INC
NPI 1114064508
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Poplar Bluff, MO

Active since February 01, 2007
2056 HWY AA, POPLAR BLUFF, MO 63901(573) 785-0482(573) 776-7278 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Son Shine Home Inc NPPES

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

SON SHINE HOME INC (NPI 1114064508) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Poplar Bluff, Missouri and active in the NPI registry since February 2007. The organization lists Leota Faye Dicken, Administrator Pres Of Corp Owner, as its authorized official.

NPPES Registry Identity

NPI1114064508
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSON SHINE HOME INC
Location Address2056 HWY AAPoplar Bluff, MO 63901-3789
Mailing Address2056 Hwy AaPoplar Bluff, MO 63901-3789 · (573) 785-0482 · Fax (573) 776-7278
Phone(573) 785-0482
Fax(573) 776-7278
Organization SubpartNo
Authorized OfficialLeota Faye DickenAdministrator Pres Of Corp Owner · (573) 785-0482
Enumeration DateFebruary 1, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114064508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MO · 14308791
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2056 HWY AA, Poplar Bluff, MO 63901
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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 Son Shine Home Inc's NPI number?

The NPI number for Son Shine Home Inc is 1114064508. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Son Shine Home Inc located?

Son Shine Home Inc is located at 2056 Hwy Aa, Poplar Bluff, MO 63901. The listed phone number is (573) 785-0482.

What is Son Shine Home Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Son Shine Home Inc was last updated on August 22, 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.