Southeast Missouri Residential Services
NPI 1568601482 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Poplar Bluff, MO
Southeast Missouri Residential Services is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Poplar Bluff, MO (NPI 1568601482).
Provider details
- NPI number
- 1568601482
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Molly Boeckmann, Director of Administrative Services(573) 751-4055
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-02-17
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Frequently asked questions
- What is Southeast Missouri Residential Services's NPI number?
- Southeast Missouri Residential Services's National Provider Identifier (NPI) is 1568601482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Missouri Residential Services?
- Southeast Missouri Residential Services is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Southeast Missouri Residential Services located?
- Southeast Missouri Residential Services's practice location on file with NPPES is 2351 Kanell Blvd, Poplar Bluff, MO 63901-4035.
- What is Southeast Missouri Residential Services's phone number?
- The practice phone number listed in the NPPES registry for Southeast Missouri Residential Services is (573) 840-9300.
- Who is the authorized official for Southeast Missouri Residential Services?
- The authorized official listed on Southeast Missouri Residential Services's NPPES record is Molly Boeckmann, Director of Administrative Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Missouri Residential Services's NPI active?
- Yes — Southeast Missouri Residential Services's NPI (1568601482) is active in the NPPES registry as of the last update on 2020-10-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.