HIGGINSVILLE ISL II
NPI 1720140148
Day Training, Developmentally Disabled Services in Higginsville, MO

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

The NPI number for State Of Missouri is 1720140148. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Higginsville Isl II.

Q: What is State Of Missouri's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for State Of Missouri was last updated on October 15, 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 December 14, 2006

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

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 15, 2020, Aug 26, 2019 (2 updates tracked since 2019).

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About Higginsville Isl Ii NPPES

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

HIGGINSVILLE ISL II (NPI 1720140148) is a healthcare organization registered as a day training, developmentally disabled services in Higginsville, 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

NPI1720140148

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NameSTATE OF MISSOURI

Location Address100 W 1ST STHigginsville, MO 64037

Mailing Address1706 E ElmJefferson 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 DateDecember 14, 2006

Last NPPES UpdateOctober 15, 20202 updates tracked since enumeration

NPPES CertifiedOctober 15, 2020

✔ NPI 1720140148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in MO · EXEMPT

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.

100 W 1ST ST, Higginsville, MO 64037

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Other Names 1

Doing Business AsHigginsville Isl Ii

Other Identifiers 1

Medicaid851499707MO

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)