DIANA'S BOARDING HOME, INC – NPI #1396900916
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, INC is a community based residential treatment facility located in MARBLE HILL, MO. NPPES has assigned the NPI number 1396900916 to DIANA'S BOARDING HOME, INC on July 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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, INC below.

NPI Profile for
DIANA'S BOARDING HOME, INC

NPI Number
1396900916
Enumeration Date

(about 18 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, INC
Primary location
HC 64 BOX 4677
MARBLE HILL, MO 63764-9408
Phone: (573) 238-3344 Fax: (573) 238-3361
Mailing address
HC64 BOX 4677
DIANA'S BOARDING HOME, INC
MARBLE HILL, MO 63764
Phone: (573) 238-3344 Fax: (573) 238-3361
Organization Subpart
No
Authorized Official
DIANA COOK
PRESIDENT/OWNER
Phone: (573) 238-3344
Updated
Identifiers

Identifiers for DIANA'S BOARDING HOME, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMOM266733518
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)
MO 300-10547

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.