OrganizationActive
Life Christain Outreach
NPI 1508103896 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Columbia, MO
Provider details
- NPI number
- 1508103896
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Greg Ordway, Vice President(573) 256-6155
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Respite Care Facility
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3251 Pinetree Dr
Columbia, MO 65201-1706
Phone: (573) 875-1141
Street-level locationGet directions
Mailing address
1250 N Dozier Station Rd
Columbia, MO 65202-7798
Other names (DBA / former)
- Doing business as
- Life Enterprises
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2013-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.