Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulderwood Estates LLC

Organization In Home Supportive Care Agency · NPI 1669928834

Boulderwood Estates LLC is an In Home Supportive Care Agency in Nixa, Missouri. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 Care Ave
Nixa, MO 65714-9679
Phone: (417) 374-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1669928834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Edmonds — Member · (417) 860-1300
Other names Boulderwood Estates
NPI enumeratedAugust 28, 2016
Last updated in NPPESAugust 28, 2016
Mailing addressPo Box 870, Nixa, MO 65714-0870

Other providers in Nixa