PONY BIRD INCORPORATED
NPI 1114044815
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mapaville, MO

Active since March 26, 2007CLIA 26D2237764 · Waiver
#1 PONY BIRD LANE, MAPAVILLE, MO 63065(636) 931-5818(636) 931-3518 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pony Bird Incorporated NPPES

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

PONY BIRD INCORPORATED (NPI 1114044815) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mapaville, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 27, 2027 and lists Linda M Dallas, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114044815
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NamePONY BIRD INCORPORATED
Location Address#1 PONY BIRD LANEMapaville, MO 63065-0190
Mailing AddressPo Box 190Mapaville, MO 63065-0190 · (636) 931-5818 · Fax (636) 931-3518
Fax(636) 931-3518
Organization SubpartNo
Authorized OfficialLinda M DallasExecutive Director · (636) 931-5818
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1114044815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in MO · 1351-8421
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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 26D2237764

Pony Bird, Inc · Mapaville, MO
Active · expires Sep 27, 2027
CLIA Number26D2237764
Laboratory TypeResidential Group Home-Id
Certificate Effective DateSeptember 28, 2025
Certificate Expiration DateSeptember 27, 2027
Laboratory DirectorPanni R. Iness
Laboratory Phone(636) 931-5818
Laboratory LocationPony Bird, Inc1 Pony Bird Lane, Mapaville, MO 63065
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065

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 Pony Bird Incorporated's NPI number?

The NPI number for Pony Bird Incorporated is 1114044815. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Pony Bird Incorporated located?

Pony Bird Incorporated is located at #1 Pony Bird Lane, Mapaville, MO 63065. The listed phone number is (636) 931-5818.

What is Pony Bird Incorporated's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Pony Bird Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2237764) is associated with this NPI, valid through September 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pony Bird Incorporated was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.