IndividualActive
Bonnie Faughn
NPI 1407994601 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Poplar Bluff, MO
Provider details
- NPI number
- 1407994601
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 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
83% 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
2342 County Road 523
Poplar Bluff, MO 63901-8017
Phone: (573) 686-6142
Street-level locationGet directions
Mailing address
2342 County Road 523
Poplar Bluff, MO 63901-8017
Registry dates
- Enumerated
- 2007-02-01
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.