OrganizationActive
State of Missouri
NPI 1376614701 · Intellectual Disabilities Intermediate Care Facility · Nevada, MO
Provider details
- NPI number
- 1376614701
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- State of Missouri
- Organization subpart
- Yes
- Authorized official
- Molly Boeckmann, Director of Administrative Services(573) 751-4055
- License
- EXEMPT (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 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
2323 N Ash St
Nevada, MO 64772-1054
Phone: (417) 667-7833
Fax: (417) 448-1138
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 687
Jefferson City, MO 65102-0687
Other names (DBA / former)
- Doing business as
- Nevada Habilitation Center
- Doing business as
- Nevada Habilitation Center
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.