What is Boulderwood Estates LLC's NPI number?

Boulderwood Estates LLC's National Provider Identifier (NPI) is 1669928834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Boulderwood Estates LLC?

Boulderwood Estates LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).

Where is Boulderwood Estates LLC located?

Boulderwood Estates LLC's practice location on file with NPPES is 1111 Care Ave, Nixa, MO 65714-9679.

What is Boulderwood Estates LLC's phone number?

The practice phone number listed in the NPPES registry for Boulderwood Estates LLC is (417) 374-7755.

Who is the authorized official for Boulderwood Estates LLC?

The authorized official listed on Boulderwood Estates LLC's NPPES record is Kevin Edmonds, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Boulderwood Estates LLC's NPI active?

Yes — Boulderwood Estates LLC's NPI (1669928834) is active in the NPPES registry as of the last update on 2016-08-28.

OrganizationActive

Boulderwood Estates LLC

NPI 1669928834 · In Home Supportive Care Agency · Nixa, MO

Boulderwood Estates LLC is a In Home Supportive Care Agency organization in Nixa, MO (NPI 1669928834).

Provider details

NPI number: 1669928834
Entity type: Organization
Primary specialty: In Home Supportive Care AgencyAgencies
Organization subpart: No
Authorized official: Kevin Edmonds, Member(417) 860-1300

Practice location

1111 Care Ave

Nixa, MO 65714-9679

Phone: (417) 374-7755

Street-level locationGet directions

More MO providers

Mailing address

Po Box 870

Nixa, MO 65714-0870

Specialties & taxonomies

In Home Supportive Care AgencyPrimary253Z00000X
Agencies

Other names (DBA / former)

Doing business as: Boulderwood Estates

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 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.

Enumerated: 2016-08-28
Last updated: 2016-08-28

Frequently asked questions

What is Boulderwood Estates LLC's NPI number?: Boulderwood Estates LLC's National Provider Identifier (NPI) is 1669928834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Boulderwood Estates LLC?: Boulderwood Estates LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
Where is Boulderwood Estates LLC located?: Boulderwood Estates LLC's practice location on file with NPPES is 1111 Care Ave, Nixa, MO 65714-9679.
What is Boulderwood Estates LLC's phone number?: The practice phone number listed in the NPPES registry for Boulderwood Estates LLC is (417) 374-7755.
Who is the authorized official for Boulderwood Estates LLC?: The authorized official listed on Boulderwood Estates LLC's NPPES record is Kevin Edmonds, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Boulderwood Estates LLC's NPI active?: Yes — Boulderwood Estates LLC's NPI (1669928834) is active in the NPPES registry as of the last update on 2016-08-28.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions