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

Active since February 05, 2010CLIA 26D2004114 · Waiver
805 N JACKSON ST, EL DORADO SPRINGS, MO 64744(417) 876-4278 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About El Dorado Springs Residential Care NPPES

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

EL DORADO SPRINGS RESIDENTIAL CARE (NPI 1083946677) is a healthcare organization registered as a custodial care facility in El Dorado Springs, Missouri and active in the NPI registry since February 2010. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Ann L Amos, Owner, as its authorized official.

NPPES Registry Identity

NPI1083946677
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameEL DORADO SPRINGS RESIDENTIAL CARE
Location Address805 N JACKSON STEl Dorado Springs, MO 64744-2912
Mailing Address805 N Jackson StEl Dorado Springs, MO 64744-2912 · (417) 876-4278
Organization SubpartNo
Authorized OfficialAnn L AmosOwner · (417) 876-4278
Enumeration DateFebruary 5, 2010
NPI 1083946677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in MO · 037718
Definition

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.

805 N JACKSON ST, El Dorado Springs, MO 64744

CLIA Laboratory Certificates CMS CLIA 2

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 26D2004114

El Dorado Springs Residential Care · El Dorado Springs, MO
Active · expires Feb 24, 2028
CLIA Number26D2004114
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorAnn Amos
Laboratory Phone(417) 876-4278
Laboratory LocationEl Dorado Springs Residential Care805 North Jackson, El Dorado Springs, MO 64744
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 26D2123372

El Dorado Springs Medical Center · Eldorado Springs, MO
Active · expires Jan 16, 2028
CLIA Number26D2123372
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 17, 2026
Certificate Expiration DateJanuary 16, 2028
Laboratory DirectorBethany Dhondt
Laboratory Phone(417) 876-2118
Laboratory LocationEl Dorado Springs Medical Center322 E Hospital Road, Eldorado Springs, MO 64744
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.