BOONVILLE RESIDENTIAL LLC NPI 1427216555

NPI Information

  • NPI: 1427216555
  • Provider Name: BOONVILLE RESIDENTIAL LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: HARTMANN VILLAGE
  • CLIA Number: 26D1089236
  • Address: 600 RANKIN MILL LANE
    BOONVILLE, MO
    ZIP 65233
  • Phone: (660) 882-9933

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NPI Details

BOONVILLE RESIDENTIAL LLC is an assisted living facility in Boonville, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BOONVILLE RESIDENTIAL LLC NPI is 1427216555. The provider is registered as an organization entity type.
The provider Is Doing Business As Hartmann Village.

The provider's business location address is:

600 RANKIN MILL LANE
BOONVILLE, MO
ZIP 65233
Phone: (660) 882-9933

The provider's authorized official is James Reiker .
The authorized official title is Manager and has the following contact phone number (660) 882-9933.

The CLIA number assigned to this NPI record is 26D1089236 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 5/27/2008.

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
1310400000XAssisted Living FacilityYes

What is NPI?

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

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