Organization Active NPI

Prime Supported Living LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Columbia, MO
National Provider Identifier
1891624409
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PRIME SUPPORTED LIVING LLC
Practice address
117 Walton Heath CT
Columbia, MO 65201-5822
Phone
(619) 451-1491
NPI assigned
May 18, 2026
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Murama Aloys
Title
Owner
Phone
(619) 451-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

117 Walton Heath CT
Columbia, MO 65201-5822

Mailing address

117 Walton Heath CT
Columbia, MO 65201-5822
Phone (619) 451-1491

National Provider Directory

National Provider Directory
Tax ID family
Prime Supported Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1891624409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WALTON HEATH CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015822",
            "telephone_number": "619-451-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WALTON HEATH CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015822",
            "telephone_number": "619-451-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SUPPORTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "ALOYS",
        "authorized_official_first_name": "MURAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-451-1491"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.