OrganizationActive
Preferred Family Healthcare
NPI 1164553475 · Children's Substance Abuse Rehabilitation Facility · Hannibal, MO
Provider details
- NPI number
- 1164553475
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mark Conover, Chief Revenue Officer(573) 603-1460
- License
- 6300-9238 (MO)
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care 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
4355 Paris Gravel Rd
Hannibal, MO 63401-6017
Phone: (573) 248-3811
Fax: (573) 248-3080
Street-level locationGet directions
Mailing address
1601 Old South River Rd
Saint Charles, MO 63303-4120
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.