POPLAR BLUFF REGIONAL CENTER
NPI 1134295108
Day Training, Developmentally Disabled Services in Poplar Bluff, MO

NPI Status: Active since November 28, 2006

Contact Information

2351 KANELL BLVD
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 840-9300
Fax: (573) 840-9311

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About POPLAR BLUFF REGIONAL CENTER

This page provides the complete NPI Profile along with additional information for Poplar Bluff Regional Center, a provider established in Poplar Bluff, Missouri operating as a Day Training, Developmentally Disabled Services. The healthcare provider is registered in the NPI registry with number 1134295108 assigned on November 2006. The practitioner's primary taxonomy code is 251C00000X with license number EXEMPT (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Poplar Bluff Regional Center. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1134295108
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
POPLAR BLUFF REGIONAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2351 KANELL BLVD POPLAR BLUFF, MO 63901
Location Phone
(573) 840-9300
Location Fax
(573) 840-9311
Mailing Address
1706 E ELM ST JEFFERSON CITY, MO 65101
Mailing Phone
(573) 751-3398
Mailing Fax
(573) 840-9311
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-28-2006
Last Update Date
10-27-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Day Training, Developmentally Disabled Services

Taxonomy Code
251C00000X
Type
Agencies
License No.
EXEMPT
License State
MO
Taxonomy Description
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
851793117MEDICAID (05)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134295108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164491010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 9 + 1 + 0 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1134295108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598906372STATE OF MISSOURI
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2351 KANELL BLVD
POPLAR BLUFF, MO 63901
(573) 840-9374
1063582708STATE OF MISSOURI
Organization
Case Management2351 KANELL BLVD
POPLAR BLUFF, MO 63901
(573) 840-9300
1124198981STATE OF MISSOURI
Organization
Intermediate Care Facility, Intellectual Disabilities2351 KANELL BLVD
POPLAR BLUFF, MO 63901
(573) 840-9370
1568601482SOUTHEAST MISSOURI RESIDENTIAL SERVICES
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities2351 KANELL BLVD
POPLAR BLUFF, MO 63901
(573) 840-9300
1740560580STATE OF MISSOURI
Organization
Family Medicine2351 KANELL BLVD
POPLAR BLUFF, MO 63901
(573) 840-9370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134295108, enumerated in the NPI registry as an "organization" on November 28, 2006

The provider is located at 2351 Kanell Blvd Poplar Bluff, Mo 63901 and the phone number is (573) 840-9300

This medical organization specializes in Day Training, Developmentally Disabled Services with taxonomy code 251C00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.