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MARIAH PROCTOR
NPI 1164039871
Home Health in Columbia, MO

Active since September 26, 2020
1809 VANDIVER DR STE 105, COLUMBIA, MO 65202(573) 814-8528 Get Directions Write a Review

NPPES record last updated: September 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariah Proctor NPPES

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

MARIAH PROCTOR (NPI 1164039871) is an individual home health provider in Columbia, Missouri and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1164039871
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameMARIAH PROCTOR
Location Address1809 VANDIVER DR STE 105Columbia, MO 65202-3948
Mailing Address1809 Vandiver Dr Ste 105Columbia, MO 65202-3948 · (573) 814-8528
Phone(573) 814-8528
Sole ProprietorYes
Enumeration DateSeptember 26, 2020
NPPES CertifiedSeptember 26, 2020
✔ NPI 1164039871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1809 VANDIVER DR STE 105, Columbia, MO 65202
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Other Providers at the Same Location NPPES 2

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

DIVINE DESTINY HOME CARE LLC
Home Health
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202
Boone County (573) 797-6007
PROCTORS PROVISION LLC.
Home Health
1809 VANDIVER DR STE 105
COLUMBIA, MO 65202
Boone County (573) 814-8528

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 Mariah Proctor's NPI number?

The NPI number for Mariah Proctor is 1164039871. It was assigned to this individual provider in the NPPES registry on September 26, 2020.

Where is Mariah Proctor located?

Mariah Proctor practices at 1809 Vandiver Dr Ste 105, Columbia, MO 65202. The listed phone number is (573) 814-8528.

What is Mariah Proctor's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Mariah Proctor was last updated on September 26, 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.