DIANA'S BOARDING HOME INC NPI 1396900916

NPI Information

  • NPI: 1396900916
  • Provider Name: DIANA'S BOARDING HOME, INC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: HC 64 BOX 4677
    MARBLE HILL, MO
    ZIP 63764
  • Phone: (573) 238-3344

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NPI Details

DIANA'S BOARDING HOME, INC is a community based residential treatment facility mental illness in Marble Hill, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DIANA'S BOARDING HOME, INC NPI is 1396900916. The provider is registered as an organization entity type.

The provider's business location address is:

HC 64 BOX 4677
MARBLE HILL, MO
ZIP 63764-408
Phone: (573) 238-3344
Fax: (573) 238-3361

The provider's authorized official is Diana F Cook .
The authorized official title is President/owner and has the following contact phone number (573) 238-3344.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 7/23/2008.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness300-10547MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1M266733518MEDICAIDMISSOURI

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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