Boone Supported Living, LLC
NPI 1568680403 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hannibal, MO
Boone Supported Living, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Hannibal, MO (NPI 1568680403).
Provider details
- NPI number
- 1568680403
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julie Walden, Member(573) 406-8010
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
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
Mailing address
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Boone Supported Living, LLC's NPI number?
- Boone Supported Living, LLC's National Provider Identifier (NPI) is 1568680403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boone Supported Living, LLC?
- Boone Supported Living, LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Boone Supported Living, LLC located?
- Boone Supported Living, LLC's practice location on file with NPPES is 5 Marsh Cir, Hannibal, MO 63401-2479.
- What is Boone Supported Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Boone Supported Living, LLC is (573) 406-8010.
- Who is the authorized official for Boone Supported Living, LLC?
- The authorized official listed on Boone Supported Living, LLC's NPPES record is Julie Walden, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boone Supported Living, LLC's NPI active?
- Yes — Boone Supported Living, LLC's NPI (1568680403) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.