OrganizationActive
Diana'S Boarding Home 1, Inc
NPI 1275128845 · Assisted Living Facility (Mental Illness) · Marble Hill, MO
Provider details
- NPI number
- 1275128845
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Wagner, Owner(573) 866-2010
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Hc 64 Box 4590
Marble Hill, MO 63764-9408
Phone: (573) 866-2010
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 64 Box 4590
Marble Hill, MO 63764-9408
Other names (DBA / former)
- Doing business as
- Diana'S Boarding Home 1
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.