EL DORADO SPRINGS RESIDENTIAL CARE
NPI 1083946677
Custodial Care Facility in El Dorado Springs, MO

NPI Status: Active since February 05, 2010

Contact Information

805 N JACKSON ST
EL DORADO SPRINGS, MO
ZIP 64744
Phone: (417) 876-4278

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  • Organization
  • Custodial Care Facility
  • CLIA Number: 26D2123372
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 01-16-2028

About EL DORADO SPRINGS RESIDENTIAL CARE

This page provides the complete NPI Profile along with additional information for El Dorado Springs Residential Care, a provider established in El Dorado Springs, Missouri operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1083946677 assigned on February 2010. The practitioner's primary taxonomy code is 311Z00000X with license number 037718 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Ann L Amos (Owner)

NPI
1083946677
Provider Name
EL DORADO SPRINGS RESIDENTIAL CARE
Entity Type
Organization
Location Address
805 N JACKSON ST EL DORADO SPRINGS, MO 64744
Location Phone
(417) 876-4278
Mailing Address
805 N JACKSON ST EL DORADO SPRINGS, MO 64744
Mailing Phone
(417) 876-4278
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-05-2010
Last Update Date
02-05-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
License No.
037718
License State
MO
Taxonomy Description
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN L AMOS

Authorized Official Title
OWNER
Authorized Official Phone
(417) 876-4278

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2123372
Facility Type
Rural Health Clinic
Certificate Effective Date
January 17, 2026
Certificate Expiration Date
January 16, 2028
Laboratory Director
BETHANY DHONDT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to El Dorado Springs Residential Care after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083946677, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 4 + 1 + 2 + 6 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1083946677.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083946677, enumerated as an "organization" on February 05, 2010.

The provider is located at 805 N JACKSON ST EL DORADO SPRINGS, MO 64744 and the phone number is (417) 876-4278.

Custodial Care Facility with taxonomy code 311Z00000X.