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HIGGINSVILLE HABILITATION CENTER
NPI 1689745010
Intermediate Care Facility, Intellectual Disabilities in Higginsville, MO

Active since November 09, 2006
100 W 1ST ST, HIGGINSVILLE, MO 64037(660) 584-2142(660) 584-6244 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Aug 28, 2019 (2 updates tracked since 2019).

About Higginsville Habilitation Center NPPES

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

HIGGINSVILLE HABILITATION CENTER (NPI 1689745010) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Higginsville, 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

NPI1689745010
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF MISSOURI
Location Address100 W 1ST STHigginsville, MO 64037-1171
Mailing AddressPo 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 9, 2006
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1689745010 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.
100 W 1ST ST, Higginsville, MO 64037
Open in Google Maps ↗

Other Names 1

Doing Business AsHigginsville Habilitation Center

Other Identifiers 1

Medicaid051499705MO

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)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Lafayette County (660) 584-2142
SHELA MARIE ARNOLD FNP-C
Nurse Practitioner (Family)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Lafayette County (660) 584-4817
VICKIE KAY WARD ANP-BC
Nurse Practitioner (Adult Health)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Lafayette County (660) 584-4817
STATE OF MISSOURI
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
100 W 1ST ST
HIGGINSVILLE, MO 64037
Lafayette County (660) 584-2142
STATE OF MISSOURI
Day Training, Developmentally Disabled Services
100 W 1ST ST
HIGGINSVILLE, MO 64037
Lafayette County (660) 584-2142

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 1689745010. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Higginsville Habilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 100 W 1st St, Higginsville, MO 64037. The listed phone number is (660) 584-2142.

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 October 27, 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.