Son Shine Home Inc
NPI 1114064508 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Poplar Bluff, MO
Son Shine Home Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Poplar Bluff, MO (NPI 1114064508).
Provider details
- NPI number
- 1114064508
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Leota Dicken, Administrator Pres of Corp Owner(573) 785-0482
- License
- 14308791 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 14308791 (MO)
Residential Treatment Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2020-08-22
Frequently asked questions
- What is Son Shine Home Inc's NPI number?
- Son Shine Home Inc's National Provider Identifier (NPI) is 1114064508, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Son Shine Home Inc?
- Son Shine Home Inc is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Son Shine Home Inc located?
- Son Shine Home Inc's practice location on file with NPPES is 2056 Hwy Aa, Poplar Bluff, MO 63901-3789.
- What is Son Shine Home Inc's phone number?
- The practice phone number listed in the NPPES registry for Son Shine Home Inc is (573) 785-0482.
- Who is the authorized official for Son Shine Home Inc?
- The authorized official listed on Son Shine Home Inc's NPPES record is Leota Dicken, Administrator Pres of Corp Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Son Shine Home Inc's NPI active?
- Yes — Son Shine Home Inc's NPI (1114064508) is active in the NPPES registry as of the last update on 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.