HANNIBAL REGIONAL CENTER
NPI 1487714515
Day Training, Developmentally Disabled Services in Hannibal, MO

Active since December 11, 2006
805 CLINIC RD, HANNIBAL, MO 63401(573) 248-2400(573) 248-2408 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Hannibal Regional Center NPPES

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

HANNIBAL REGIONAL CENTER (NPI 1487714515) is a healthcare organization registered as a day training, developmentally disabled services in Hannibal, Missouri and active in the NPI registry since December 2006. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1487714515
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameSTATE OF MISSOURI
Location Address805 CLINIC RDHannibal, MO 63401
Mailing Address1706 E Elm StJefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560
Fax(573) 248-2408
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1487714515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
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.
805 CLINIC RD, Hannibal, MO 63401

Other Names 1

Doing Business AsHannibal Regional Center

Other Identifiers 1

Medicaid851792606MO

Other Providers at the Same Location NPPES

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

Case Management
805 CLINIC RD
HANNIBAL, MO 63401

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 1487714515. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Hannibal Regional Center.

Where is State Of Missouri located?

State Of Missouri is located at 805 Clinic Rd, Hannibal, MO 63401. The listed phone number is (573) 248-2400.

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 October 20, 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.