OrganizationActive
Blankenship Residentail Care Center, LLC
NPI 1083831507 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Palmyra, MO
Provider details
- NPI number
- 1083831507
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Evelyn Blankenship, Owner(573) 769-3933
- License
- 2613-8952 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 2613-8952 (MO)
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
209 Logan St
Palmyra, MO 63461-1336
Phone: (573) 769-3933
Street-level locationGet directions
Mailing address
209 Logan St
Palmyra, MO 63461-1336
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.