BOONE SUPPORTED LIVING, LLC – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1568680403

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

BOONE SUPPORTED LIVING, LLC is a healthcare provider. based in Hannibal, Missouri. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for BOONE SUPPORTED LIVING, LLC is 1568680403

Main info

Organization
Name
BOONE SUPPORTED LIVING, LLC
NPI
1568680403
Phone
(573) 406-8010
Address
5 MARSH CIR
Authorized Official
JULIE WALDEN MEMBER
Enumeration Date
24 April 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for BOONE SUPPORTED LIVING, LLC

  • 5 MARSH CIR

    HANNIBAL, MO 634012479

    Phone: (573) 406-8010

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63401)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for BOONE SUPPORTED LIVING, LLC?
BOONE SUPPORTED LIVING, LLC — NPI 1568680403 — is the standard way to identify this listing.
Does CMS list BOONE SUPPORTED LIVING, LLC as active?
Yes — BOONE SUPPORTED LIVING, LLC is active in the NPI listing used on this page.
What healthcare role does BOONE SUPPORTED LIVING, LLC hold?
Scheduling teams often label BOONE SUPPORTED LIVING, LLC under Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Where should I expect BOONE SUPPORTED LIVING, LLC on a map?
Expect Hannibal, Missouri as a primary anchor for BOONE SUPPORTED LIVING, LLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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