Green Maxville Supportive Living LLC
NPI 1235511692 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO
Green Maxville Supportive Living LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Columbia, MO (NPI 1235511692).
Provider details
- NPI number
- 1235511692
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dale Maxville, President/Owner(573) 864-9743
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
- 2015-06-22
- Last updated
- 2015-06-22
Frequently asked questions
- What is Green Maxville Supportive Living LLC's NPI number?
- Green Maxville Supportive Living LLC's National Provider Identifier (NPI) is 1235511692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Maxville Supportive Living LLC?
- Green Maxville Supportive Living LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Green Maxville Supportive Living LLC located?
- Green Maxville Supportive Living LLC's practice location on file with NPPES is 101 E Alhambra Dr, Columbia, MO 65203-3763.
- What is Green Maxville Supportive Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Maxville Supportive Living LLC is (573) 864-9743.
- Who is the authorized official for Green Maxville Supportive Living LLC?
- The authorized official listed on Green Maxville Supportive Living LLC's NPPES record is Dale Maxville, President/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Maxville Supportive Living LLC's NPI active?
- Yes — Green Maxville Supportive Living LLC's NPI (1235511692) is active in the NPPES registry as of the last update on 2015-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.