CLOSE2HOME4LIFE LLC NPI 1235918590

NPI Information

NPI: 1235918590
Provider Name: CLOSE2HOME4LIFE LLC
Classification: Assisted Living Facility - 3104A0625X
Specialization: Assisted Living, Mental Illness
Entity Type: Organization
Address: 620 N GOLDSMITH ST
MALDEN, MO
ZIP 63863
Phone: (573) 901-0200

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NPI Details

CLOSE2HOME4LIFE LLC is an assisted living and mental illness assisted living facility in Malden, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. CLOSE2HOME4LIFE LLC NPI is 1235918590. The provider is registered as an organization entity type.

The provider's business location address is:

620 N GOLDSMITH ST
MALDEN, MO
ZIP 63863-734
Phone: (573) 901-0200

The provider's authorized official is Stacy Sue Speer .
The authorized official title is Owner/manager and has the following contact phone number (573) 217-8374.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 9/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	174200000X	Meals		No
2	177F00000X	Lodging		No
3	251B00000X	Case Management		No
4	251J00000X	Nursing Care		No
5	251K00000X	Public Health or Welfare		No
6	251S00000X	Community/Behavioral Health		No
7	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
8	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
9	385H00000X	Respite Care		No
10	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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