BLUE CASTLE LLC NPI 1245303171

NPI Information

  • NPI: 1245303171
  • Provider Name: BLUE CASTLE, LLC
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Former Legal Business Name: BLUE CASTLE OF THE OZARKS, INC
  • CLIA Number: 26D2085596
  • Address: 1830 E. LAVERN
    BOLIVAR, MO
    ZIP 65613
  • Phone: (417) 777-2583

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NPI Details

BLUE CASTLE, LLC is an assisted living and mental illness assisted living facility in Bolivar, 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. BLUE CASTLE, LLC NPI is 1245303171. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Blue Castle Of The Ozarks, Inc.

The provider's business location address is:

1830 E. LAVERN
BOLIVAR, MO
ZIP 65613
Phone: (417) 777-2583
Fax: (417) 326-2584

The provider's authorized official is Katie Roweton .
The authorized official title is Owner/administrator and has the following contact phone number (417) 399-7979.

The CLIA number assigned to this NPI record is 26D2085596 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 6/4/2021.

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 License Number License State Primary
1310400000XAssisted Living FacilityNo
23104A0625XAssisted Living FacilityAssisted Living, Mental Illness039817MISSOURIYes

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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