Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

State of Missouri

Q: What type of organization is State of Missouri?

State of Missouri is registered in NPPES as a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (its primary provider taxonomy).

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Independence, MO · enumerated 2007 · authorized official Molly Boeckmann, Director of Administrative Services.

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

National Provider Identifier

1760681415

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name State of Missouri

Other name <Unavail>

Parent organization State of Missouri

Practice address 1501 N River Blvd, Independence, MO, 64050

Phone (816) 512-7515

Fax (816) 512-7517

Enumeration date Jul 13, 2007

Last updated in NPPES Oct 20, 2020

Taxonomy & classification

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

Authorized official

Name Molly Boeckmann

Title Director of Administrative Services

Phone (573) 751-4055

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is State of Missouri?

State of Missouri 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 2020-10-20.