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NEVADA HABILITATION CENTER ISL
NPI 1811137516
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Nevada, MO

Active since February 20, 2009
2323 N ASH ST, NEVADA, MO 64772(417) 667-7833(417) 448-1146 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).

About Nevada Habilitation Center Isl NPPES

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

NEVADA HABILITATION CENTER ISL (NPI 1811137516) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Nevada, Missouri and active in the NPI registry since February 2009. The organization lists Molly Jane Boeckmann, Director Of Administrative Services, as its authorized official.

NPPES Registry Identity

NPI1811137516
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameSTATE OF MISSOURI
Location Address2323 N ASH STNevada, MO 64772-1054
Mailing Address1706 E Elm StJefferson City, MO 65101-4130 · (573) 751-3398 · Fax (573) 526-4560
Phone(417) 667-7833
Fax(417) 448-1146
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateFebruary 20, 2009
Last NPPES UpdateAugust 28, 20202 updates tracked since enumeration
NPPES CertifiedAugust 28, 2020
✔ NPI 1811137516 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.
2323 N ASH ST, Nevada, MO 64772
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Other Names 1

Doing Business AsNevada Habilitation Center Isl

Other Providers at the Same Location NPPES 4

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

LEWIS SHILANE D.O.
Family Medicine
2323 N ASH ST, NEVADA HABILITATION CENTER
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
General Practice
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
STATE OF MISSOURI
Intermediate Care Facility, Intellectual Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833
DR. INN T PARK M.D.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
2323 N ASH ST
NEVADA, MO 64772
Vernon County (417) 667-7833

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 1811137516. It was assigned to this organization in the NPPES registry on February 20, 2009. The provider is doing business as Nevada Habilitation Center Isl.

Where is State Of Missouri located?

State Of Missouri is located at 2323 N Ash St, Nevada, MO 64772. The listed phone number is (417) 667-7833.

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.

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.