OrganizationActive
State of Missouri
NPI 1194936971 · Case Management Agency · El Dorado Springs, MO
Provider details
- NPI number
- 1194936971
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Parent organization
- State of Missouri
- Organization subpart
- Yes
- Authorized official
- Molly Boeckmann, Director of Administrative Services(573) 751-4055
Specialties & taxonomies
Agencies
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
1301 Industrial Pkwy E
El Dorado Springs, MO 64744-6263
Phone: (417) 876-1004
Approximate (ZIP-level) locationGet directions
Mailing address
1706 E Elm St
Jefferson City, MO 65101-4130
Other names (DBA / former)
- Doing business as
- Southwest Missouri Psychiatric Rehabilitation Center
- Doing business as
- Southwest Missouri Psychiatric Rehabilitation Center
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-28
- Certified
- 2020-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.