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Boone Supported Living, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hannibal, MO · enumerated 2007 · authorized official Julie Walden, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568680403

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Registry record

Entity type Organization (Type 2)
Legal business name Boone Supported Living, LLC
Practice address 5 Marsh Cir, Hannibal, MO, 63401
Enumeration date Apr 24, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

320900000X Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Residential Treatment Facilities Primary

Authorized official

Name Julie Walden
Title Member

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Boone Supported Living, LLC?
Boone Supported Living, LLC is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.