Boone County Independent Living, Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BOONE COUNTY INDEPENDENT LIVING, INC.

Practice address

206 S Cherry St Ste D
Harrison, AR 72601-5044

Phone

(870) 741-6909

Fax

(870) 741-4549

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Korin Westcott

Title

Executive Director

Phone

(870) 741-6909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851458301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2300",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022300",
            "telephone_number": "870-741-6909",
            "fax_number": "870-741-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S CHERRY ST STE D",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726015044",
            "telephone_number": "870-741-6909",
            "fax_number": "870-741-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY INDEPENDENT LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "KORIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-741-6909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Birdsong
• Kerry Lee Blair, CRNA
• Jonathan E. Blake, D.O.
• Patricia Evelyn Blaylock
• Hannah Jane Boaz, APRN, PMHNP-BC
• Boone County Special Services
• Luana D Booth, CRNA
• Theodore Paul Borchers, OTRL
• Russell Borland, MHPP
• Boston Mountain Rural Health Center Inc. (Bmrhc Women's Health Center)

• Developmental Disabilities Clinic/Center in Harrison, AR
• Providers in Harrison, AR by specialty
• Developmental Disabilities Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.