Willhaven Residential Complex, Inc.
NPI 1790802916 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Poplar Bluff, MO
Willhaven Residential Complex, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Poplar Bluff, MO (NPI 1790802916).
Provider details
- NPI number
- 1790802916
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dairel Denton, Pres.(573) 686-3053
- License
- N00027062 (MO)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense N00027062 (MO)
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
- 2007-03-23
- Last updated
- 2020-08-22
Frequently asked questions
- What is Willhaven Residential Complex, Inc.'s NPI number?
- Willhaven Residential Complex, Inc.'s National Provider Identifier (NPI) is 1790802916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willhaven Residential Complex, Inc.?
- Willhaven Residential Complex, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Willhaven Residential Complex, Inc. located?
- Willhaven Residential Complex, Inc.'s practice location on file with NPPES is 2698 Debbie Ln, Poplar Bluff, MO 63901-2629.
- What is Willhaven Residential Complex, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Willhaven Residential Complex, Inc. is (573) 686-4700.
- Who is the authorized official for Willhaven Residential Complex, Inc.?
- The authorized official listed on Willhaven Residential Complex, Inc.'s NPPES record is Dairel Denton, Pres.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willhaven Residential Complex, Inc.'s NPI active?
- Yes — Willhaven Residential Complex, Inc.'s NPI (1790802916) 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.