Organization Active NPI

Boulder Build Operations LLC Dba Barnabas Redwood Manor

  • Mental Illness Community Based Residential Treatment Facility
  • Bourbon, MO
National Provider Identifier
1962357400
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
BOULDER BUILD OPERATIONS LLC DBA BARNABAS REDWOOD MANOR
Practice address
1194 Landon Rd
Bourbon, MO 65441-8218
Phone
(573) 468-8150
Fax
(573) 860-2601
NPI assigned
Mar 2, 2026
Last updated
Mar 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. Sarah Huynh Roberts, PHARMD
Title
President
Phone
(714) 305-8085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

1194 Landon Rd
Bourbon, MO 65441-8218

Mailing address

PO Box 164
Saint Charles, MO 63302-0164

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1962357400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633020164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 LANDON RD",
            "city": "BOURBON",
            "state": "MO",
            "postal_code": "654418218",
            "telephone_number": "573-468-8150",
            "fax_number": "573-860-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER BUILD OPERATIONS LLC DBA BARNABAS REDWOOD MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "HUYNH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-305-8085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.