MARSHALL HABILITATION CENTER
NPI 1861563298
Intermediate Care Facility, Intellectual Disabilities in Marshall, MO

Active since November 09, 2006
700 E SLATER ST, MARSHALL, MO 65340(660) 886-2201(660) 831-3071 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 20, 2020, Aug 26, 2019 (2 updates tracked since 2019).

About Marshall Habilitation Center NPPES

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

MARSHALL HABILITATION CENTER (NPI 1861563298) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Marshall, 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

NPI1861563298
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSTATE OF MISSOURI
Location Address700 E SLATER STMarshall, MO 65340-1240
Mailing AddressPo Box 687Jefferson City, MO 65102-0687 · (573) 751-3398 · Fax (573) 526-4560
Fax(660) 831-3071
Organization SubpartYes
Authorized OfficialMolly Jane BoeckmannDirector Of Administrative Services · (573) 751-4055
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1861563298 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.

700 E SLATER ST, Marshall, MO 65340

Other Names 1

Doing Business AsMarshall Habilitation Center

Other Identifiers 1

Medicaid051499804MO

Other Providers at the Same Location NPPES 2

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

Day Training, Developmentally Disabled Services
700 E SLATER ST
MARSHALL, MO 65340
Speech-Language Pathologist
700 E SLATER ST
MARSHALL, MO 65340

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 1861563298. It was assigned to this organization in the NPPES registry on November 9, 2006. The provider is doing business as Marshall Habilitation Center.

Where is State Of Missouri located?

State Of Missouri is located at 700 E Slater St, Marshall, MO 65340. The listed phone number is (660) 886-2201.

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 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.