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BOONEVILLE HUMAN DEVELOPMENT CENTER
NPI 1801928627
Intermediate Care Facility, Intellectual Disabilities in Booneville, AR

Active since March 09, 2007CLIA 04D0919709 · Microscopy
87 REED RD, HIGHWAY 116 SOUTH, BOONEVILLE, AR 72927(479) 675-2121(479) 675-5820 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Booneville Human Development Center NPPES

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

BOONEVILLE HUMAN DEVELOPMENT CENTER (NPI 1801928627) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Booneville, Arkansas and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through April 14, 2028 and lists Judy L. Storey, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1801928627
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF ARKANSAS
Location Address87 REED RD, HIGHWAY 116 SOUTHBooneville, AR 72927
Mailing Address87 Reed Rd, Highway 116 SouthBooneville, AR 72927 · (479) 675-2121 · Fax (479) 675-5820
Phone(479) 675-2121
Fax(479) 675-5820
Organization SubpartNo
Authorized OfficialJudy L. StoreyDirector Of Operations · (479) 675-1411
Enumeration DateMarch 9, 2007
Last NPPES UpdateJune 25, 2008
✔ NPI 1801928627 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
87 REED RD, Booneville, AR 72927
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Other Names 1

Doing Business AsBooneville Human Development Center

Other Identifiers 1

Medicaid109051213AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 04D0919709

Booneville Human Development Center · Booneville, AR
Active · expires Apr 14, 2028
CLIA Number04D0919709
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorSyed Hamid
Laboratory Phone(479) 675-1443
Laboratory LocationBooneville Human Development Center87 Reed Road, Booneville, AR 72927
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Arkansas's NPI number?

The NPI number for State Of Arkansas is 1801928627. It was assigned to this organization in the NPPES registry on March 9, 2007. The provider is doing business as Booneville Human Development Center.

Where is State Of Arkansas located?

State Of Arkansas is located at 87 Reed Rd Highway 116 South, Booneville, AR 72927. The listed phone number is (479) 675-2121.

What is State Of Arkansas's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does State Of Arkansas hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D0919709) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Arkansas was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.