OrganizationActive
Bunker Residential Home Dba
NPI 1558753640 · Assisted Living Facility · Bunker, MO
Bunker Residential Home Dba is a Assisted Living Facility organization in Bunker, MO (NPI 1558753640).
Provider details
- NPI number
- 1558753640
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Janis Gordon, Manager(573) 689-2213
- License
- 042886 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
500 Culler Ave
Bunker, MO 63629
Phone: (573) 689-1392
Fax: (573) 689-1397
Street-level locationGet directions
Mailing address
Po Box 276 500 Culler Ave
Bunker, MO 63629
Other names (DBA / former)
- Other name
- Reynolds County Executive Board of Developmental Disabilities Services
Registry dates
- Enumerated
- 2015-02-26
- Last updated
- 2021-10-13
- Certified
- 2021-10-13
Frequently asked questions
- What is Bunker Residential Home Dba's NPI number?
- Bunker Residential Home Dba's National Provider Identifier (NPI) is 1558753640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bunker Residential Home Dba?
- Bunker Residential Home Dba is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Bunker Residential Home Dba located?
- Bunker Residential Home Dba's practice location on file with NPPES is 500 Culler Ave, Bunker, MO 63629.
- What is Bunker Residential Home Dba's phone number?
- The practice phone number listed in the NPPES registry for Bunker Residential Home Dba is (573) 689-1392.
- Who is the authorized official for Bunker Residential Home Dba?
- The authorized official listed on Bunker Residential Home Dba's NPPES record is Janis Gordon, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bunker Residential Home Dba's NPI active?
- Yes — Bunker Residential Home Dba's NPI (1558753640) is active in the NPPES registry as of the last update on 2021-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.