OrganizationActive
Bootheel Area Independent Living Service
NPI 1609907864 · Home Health Agency · Kennett, MO
Bootheel Area Independent Living Service is a Home Health Agency organization in Kennett, MO (NPI 1609907864).
Provider details
- NPI number
- 1609907864
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tim Shaw, Executive Director(573) 888-0002
- License
- 00 (MO)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 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
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
719 Teaco Rd
Kennett, MO 63857-3741
Phone: (573) 888-0002
Fax: (573) 888-2513
Street-level locationGet directions
Mailing address
719 Teaco Rd
Kennett, MO 63857-3741
Other names (DBA / former)
- Other name
- Bails
Registry dates
- Enumerated
- 2007-03-08
- Last updated
- 2022-07-21
Frequently asked questions
- What is Bootheel Area Independent Living Service's NPI number?
- Bootheel Area Independent Living Service's National Provider Identifier (NPI) is 1609907864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bootheel Area Independent Living Service?
- Bootheel Area Independent Living Service is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Bootheel Area Independent Living Service located?
- Bootheel Area Independent Living Service's practice location on file with NPPES is 719 Teaco Rd, Kennett, MO 63857-3741.
- What is Bootheel Area Independent Living Service's phone number?
- The practice phone number listed in the NPPES registry for Bootheel Area Independent Living Service is (573) 888-0002.
- Who is the authorized official for Bootheel Area Independent Living Service?
- The authorized official listed on Bootheel Area Independent Living Service's NPPES record is Tim Shaw, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bootheel Area Independent Living Service's NPI active?
- Yes — Bootheel Area Independent Living Service's NPI (1609907864) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.