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GOGGIN BOARDING HOME, LLC
NPI 1083249155
Assisted Living Facility in Caledonia, MO

Active since March 09, 2020CLIA 26D2120449 · Waiver
620 COUNTRY ROAD 40, CALEDONIA, MO 63631(573) 697-5894(573) 697-5894 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Goggin Boarding Home, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOGGIN BOARDING HOME, LLC (NPI 1083249155), doing business as Goggin Boarding Home, is a healthcare organization registered as an assisted living facility in Caledonia, Missouri and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through October 17, 2026 and lists Connie Goggin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1083249155
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGOGGIN BOARDING HOME, LLC
Location Address620 COUNTRY ROAD 40Caledonia, MO 63631
Mailing Address620 Country Road 40Caledonia, MO 63631 · (573) 697-5894 · Fax (573) 697-5894
Phone(573) 697-5894
Fax(573) 697-5894
Organization SubpartNo
Authorized OfficialConnie GogginAdministrator · (573) 697-5894
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1083249155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
620 COUNTRY ROAD 40, Caledonia, MO 63631
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Other Names 1

Former Legal Business NameGoggin Boarding Home

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2120449

Goggin Boarding Home, LLC · Caledonia, MO
Active · expires Oct 17, 2026
CLIA Number26D2120449
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorConnie S. Goggin
Laboratory Phone(573) 697-5894
Laboratory LocationGoggin Boarding Home, LLC620 County Road 40, Caledonia, MO 63631
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goggin Boarding Home, LLC's NPI number?

The NPI number for Goggin Boarding Home, LLC is 1083249155. It was assigned to this organization in the NPPES registry on March 9, 2020. The provider was formerly known as Goggin Boarding Home.

Where is Goggin Boarding Home, LLC located?

Goggin Boarding Home, LLC is located at 620 Country Road 40, Caledonia, MO 63631. The listed phone number is (573) 697-5894.

What is Goggin Boarding Home, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Goggin Boarding Home, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2120449) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Goggin Boarding Home, LLC was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.