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Boulderwood Estates LLC

In Home Supportive Care Agency in Nixa, MO · enumerated 2016 · authorized official Kevin Edmonds, Member.

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

National Provider Identifier

1669928834

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Registry record

Entity type Organization (Type 2)
Legal business name Boulderwood Estates LLC
Other name <Unavail>
Practice address 1111 Care Ave, Nixa, MO, 65714
Phone (417) 374-7755
Enumeration date Aug 28, 2016
Last updated in NPPES Aug 28, 2016

Taxonomy & classification

253Z00000X In Home Supportive Care Agency Agencies Primary

Authorized official

Name Kevin Edmonds
Title Member
Phone (417) 860-1300

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 is the NPI number for Boulderwood Estates LLC?
The NPI for Boulderwood Estates LLC is 1669928834, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Boulderwood Estates LLC?
NPPES lists Kevin Edmonds (Member) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-28.