DIANA'S BOARDING HOME 1, INC – NPI #1275128845
Assisted Living Facility

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.

DIANA'S BOARDING HOME 1, INC is an assisted living facility located in MARBLE HILL, MO. NPPES has assigned the NPI number 1275128845 to DIANA'S BOARDING HOME 1, INC on March 05, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3104A0625X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Mental Illness

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIANA'S BOARDING HOME 1, INC below.

NPI Profile for
DIANA'S BOARDING HOME 1, INC

NPI Number
1275128845
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIANA'S BOARDING HOME 1, INC
Primary location
HC 64 BOX 4590
MARBLE HILL, MO 63764-9408
Phone: (573) 866-2010 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
AMANDA WAGNER
OWNER
Phone: (573) 866-2010
Updated
Certification Date
Mar 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.