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NEVADA HABILITATION CENTER
NPI 1376614701
Intermediate Care Facility, Intellectual Disabilities in Nevada, MO

Active since November 09, 2006
2323 N ASH ST, NEVADA, MO 64772(417) 667-7833(417) 448-1138 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

About Nevada Habilitation Center NPPES

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

NEVADA HABILITATION CENTER (NPI 1376614701) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Nevada, 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

NPI1376614701
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF MISSOURI
Location Address2323 N ASH STNevada, MO 64772-1054
Mailing AddressPo Box 687Jefferson City, MO 65102-0687 · (573) 526-6895 · Fax (573) 526-4560
Phone(417) 667-7833
Fax(417) 448-1138
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateNovember 9, 2006
Last NPPES UpdateSeptember 3, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1376614701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in MO · EXEMPT
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2323 N ASH ST, Nevada, MO 64772
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Other Names 1

Doing Business AsNevada Habilitation Center

Other Identifiers 1

Medicaid051499903MO

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.

LEWIS SHILANE D.O.
Family Medicine
2323 N ASH ST, NEVADA HABILITATION CENTER
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
General Practice
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
DR. INN T PARK M.D.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833

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 1376614701. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Nevada Habilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 2323 N Ash St, Nevada, MO 64772. The listed phone number is (417) 667-7833.

What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

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.