CHRISTINE L. BOHANNON – NPI #1124162227
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

CHRISTINE BOHANNON is a community based residential treatment facility located in ADRIAN, MO. NPPES has assigned the NPI number 1124162227 to CHRISTINE BOHANNON on February 20, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 CHRISTINE BOHANNON below.

NPI Profile for
CHRISTINE L. BOHANNON

NPI Number
1124162227
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHRISTINE L. BOHANNON
Primary location
BOX 64 303 W MAIN ST
ADRIAN, MO 64720-9217
Phone: (816) 805-2980 Fax:
Mailing address
303 W MAIN ST
PO BOX 64
ADRIAN, MO 64720-9217
Phone: (816) 805-2980 Fax:
Sole Proprietor
Yes
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
320900000X
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
MO

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.