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Barefootboy LLC

Physical Disabilities Residential Treatment Facility in Springfield, MO · enumerated 2008 · authorized official Rajab Echessa, Administrator.

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

National Provider Identifier

1790940989

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Registry record

Entity type Organization (Type 2)
Legal business name Barefootboy LLC
Other name <Unavail>
Practice address 723 S Scenic Ave, 723 S.Scenic, Springfield, MO, 65802
Fax (417) 864-4413
Enumeration date Jul 28, 2008
Last updated in NPPES Jul 28, 2008

Taxonomy & classification

320700000X Physical Disabilities Residential Treatment Facility Residential Treatment Facilities · License 035394 (MO) Primary

Authorized official

Name Rajab Echessa
Title Administrator

Other identifiers

Identifier Type State Issuer
266758408 Medicaid MO -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-28. Verify at npiregistry.cms.hhs.gov.
Where is Barefootboy LLC located?
The practice location on file with NPPES is in Springfield, MO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-28.