DIANA'S BOARDING HOME #3 – NPI #1053827964
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

DIANA'S BOARDING HOME #3 is a community based residential treatment facility located in MARBLE HILL, MO. NPPES has assigned the NPI number 1053827964 to DIANA'S BOARDING HOME #3 on December 15, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DIANA'S BOARDING HOME #3” is a dba name, the actual legal business name for this organization is DIANAS BOARDING HOME INC. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, 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 #3 below.

NPI Profile for
DIANAS BOARDING HOME INC

NPI Number
1053827964
Enumeration Date

(more than 8 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
DIANAS BOARDING HOME INC
Doing Business As (dba): DIANA'S BOARDING HOME #3
Primary location
HC 64
BOX 4683
MARBLE HILL, MO 63764
Phone: (573) 238-1300 Fax: (573) 238-1302
Mailing address
HC 64 BOX 4683
MARBLE HILL, MO 63764
Phone: Fax:
Organization Subpart
No
Authorized Official
DIANA COOK
OWNER/PRESIDENT
Phone: (573) 238-1300
Updated
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.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

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.