Bci Boone Center LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BCI BOONE CENTER LLC

Doing business as

Bci

Practice address

200 Trade Center Dr W
Saint Peters, MO 63376-1190

Phone

(636) 978-4300

Fax

(636) 978-4343

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BOONE CENTER INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chuck Blossom

Title

Ceo

Phone

(636) 978-4300

Specialties & licenses 1

Addresses

Other names 1

• BCI Doing business as

Part of

Bci Boone Center LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivory Frank Graves

  • Non-emergency Medical Transport (VAN)
  • Saint Peters, MO
  • NPI 1558845339
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1093082117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TRADE CENTER DR W",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761190",
            "telephone_number": "636-978-4300",
            "fax_number": "636-978-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRADE CENTER DR W",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761190",
            "telephone_number": "636-978-4300",
            "fax_number": "636-978-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCI BOONE CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONE CENTER INC.",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "BLOSSOM",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "636-978-4300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Bauer, DPT
• Baugh Spine and Sport LLC
• Allison Baugh, DC
• Betty Baumann, RN, BSN, MSW, LCSW
• BC Missouri Emergency Physicians, LLP
• Cassie Beard, OD
• Linda Irvin Beaton
• Timothy A Beauparlant
• Chelsey Jo Becker, FNP
• Kara Beckman, MA, LPC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.