SOUTHERN MISSOURI SUPPORTED LIVING
NPI 1780701557
Day Training, Developmentally Disabled Services in Alton, MO
- Organization
- Day Training, Developmentally Disabled S...
About SOUTHERN MISSOURI SUPPORTED LIVING
This page provides the complete NPI Profile along with additional information for Southern Missouri Supported Living, a provider established in Alton, Missouri operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1780701557 assigned on March 2007. The practitioner's primary taxonomy code is 251C00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mr. Robert Hollis (Owner)
- NPI
- 1780701557 Verify this NPI
- Provider Name
- SOUTHERN MISSOURI SUPPORTED LIVING
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- RR 2 BOX 2610 ALTON, MO 65606
- Location Phone
- (417) 778-1685
- Mailing Address
- 4909 COCHERO CT COLUMBIA, MO 65203
- Mailing Phone
- (573) 447-0905
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-25-2007
- Last Update Date
- 09-11-2025
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Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Day Training, Developmentally Disabled Services
- Taxonomy Code
- 251C00000X
- Type
- Agencies
- License State
- MO
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | (MO) |
| 2 | 385H00000X | Respite Care Facility | Respite Care | (MO) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780701557, enumerated as an "organization" on March 25, 2007.
The provider is located at RR 2 BOX 2610 ALTON, MO 65606 and the phone number is (417) 778-1685.
Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.
