OrganizationActive
Boulderwood Estates LLC
NPI 1669928834 · In Home Supportive Care Agency · Nixa, MO
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
Specialties & taxonomies
Agencies
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1111 Care Ave
Nixa, MO 65714-9679
Phone: (417) 374-7755
Street-level locationGet directions
Mailing address
Po Box 870
Nixa, MO 65714-0870
Other names (DBA / former)
- Doing business as
- Boulderwood Estates
Registry dates
- Enumerated
- 2016-08-28
- Last updated
- 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.