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Bootheel Area Independent Living Services, Inc.

Home Health Agency in Kennett, MO · enumerated 2006 · authorized official Tim Shaw, Executive Director.

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

National Provider Identifier

1861557183

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Registry record

Entity type Organization (Type 2)
Legal business name Bootheel Area Independent Living Services, Inc.
Practice address 719 Teaco Rd, Kennett, MO, 63857
Phone (573) 888-0002
Fax (573) 888-0708
Enumeration date Dec 27, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

251E00000X Home Health Agency Agencies · License 01 (MO) Primary

Authorized official

Name Tim Shaw
Title Executive Director
Phone (573) 888-0002

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

Who is the authorized official for Bootheel Area Independent Living Services, Inc.?
NPPES lists Tim Shaw (Executive Director) as the authorized official for this organization.
What is the NPI number for Bootheel Area Independent Living Services, Inc.?
The NPI for Bootheel Area Independent Living Services, Inc. is 1861557183, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.