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

Prime Supported Living LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1891624409

Prime Supported Living LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Columbia, Missouri. Registered with an NPI since 2026.

In the registry since
2026
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

117 Walton Heath Ct
Columbia, MO 65201-5822
Phone: (619) 451-1491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1891624409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Murama Aloys — Owner · (619) 451-1491
NPI enumeratedMay 18, 2026
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address117 Walton Heath Ct, Columbia, MO 65201-5822

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