HIGGINSVILLE HABILITATION CENTER-CRISIS
NPI 1487931358
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Higginsville, MO

Q: What is State Of Missouri's NPI number?

The NPI number for State Of Missouri is 1487931358. It was assigned to this organization in the NPPES registry on November 7, 2011. The provider is doing business as Higginsville Habilitation Center-Crisis.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on August 28, 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.

Active since November 07, 2011

100 W 1ST ST, HIGGINSVILLE, MO 64037(660) 584-2142(660) 584-6244 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2020, Aug 26, 2019 (2 updates tracked since 2019).

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About Higginsville Habilitation Center-crisis NPPES

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

HIGGINSVILLE HABILITATION CENTER-CRISIS (NPI 1487931358) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Higginsville, Missouri and active in the NPI registry since November 2011. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1487931358

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameSTATE OF MISSOURI

Location Address100 W 1ST STHigginsville, MO 64037-1171

Mailing Address1706 E Elm St Attn Reimbursements, Po Box 687Jefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560

Phone(660) 584-2142

Fax(660) 584-6244

Organization SubpartYes

Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055

Enumeration DateNovember 7, 2011

Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration

NPPES CertifiedAugust 28, 2020

✔ NPI 1487931358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

100 W 1ST ST, Higginsville, MO 64037

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Other Names 1

Doing Business AsHigginsville Habilitation Center-crisis

Other Providers at the Same Location NPPES 5

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

TERRI FLETCHER FNP

Nurse Practitioner (Family)