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DIANA'S BOARDING HOME 1, INC
NPI 1275128845
Assisted Living Facility - Assisted Living, Mental Illness in Marble Hill, MO

Active since March 05, 2021
HC 64 BOX 4590, MARBLE HILL, MO 63764(573) 866-2010 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diana's Boarding Home 1, Inc NPPES

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

DIANA'S BOARDING HOME 1, INC (NPI 1275128845), doing business as Diana's Boarding Home 1, is a healthcare organization registered as an assisted living, mental illness in Marble Hill, Missouri and active in the NPI registry since March 2021. The organization lists Amanda Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1275128845
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameDIANA'S BOARDING HOME 1, INC
Location AddressHC 64 BOX 4590Marble Hill, MO 63764-9408
Mailing AddressHc 64 Box 4590Marble Hill, MO 63764-9408 · (573) 866-2010
Phone(573) 866-2010
Organization SubpartNo
Authorized OfficialAmanda WagnerOwner · (573) 866-2010
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
✔ NPI 1275128845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
HC 64 BOX 4590, Marble Hill, MO 63764
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Other Names 1

Doing Business AsDiana's Boarding Home 1

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.

DIANA'S BOARDING HOME, INC
Community Based Residential Treatment Facility, Mental Illness
HC 64 BOX 4590
MARBLE HILL, MO 63764
Bollinger County (573) 866-2010
AMANDA WAGNER
Case Manager/Care Coordinator
HC 64 BOX 4590
MARBLE HILL, MO 63764
Bollinger County (573) 866-2010

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 Diana's Boarding Home 1, Inc's NPI number?

The NPI number for Diana's Boarding Home 1, Inc is 1275128845. It was assigned to this organization in the NPPES registry on March 5, 2021. The provider is doing business as Diana's Boarding Home 1.

Where is Diana's Boarding Home 1, Inc located?

Diana's Boarding Home 1, Inc is located at Hc 64 Box 4590, Marble Hill, MO 63764. The listed phone number is (573) 866-2010.

What is Diana's Boarding Home 1, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Diana's Boarding Home 1, Inc was last updated on March 5, 2021. 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.