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LYNN'S HERITAGE HOUSE, INC
NPI 1124234299
Assisted Living Facility in Louisiana, MO

Active since May 15, 2007CLIA 26D0926471 · Waiver
800 KELLY LN, LOUISIANA, MO 63353(573) 754-4020(573) 754-4306 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lynn's Heritage House, Inc NPPES

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

LYNN'S HERITAGE HOUSE, INC (NPI 1124234299) is a healthcare organization registered as an assisted living facility in Louisiana, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Karen Ruth Lynn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124234299
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLYNN'S HERITAGE HOUSE, INC
Location Address800 KELLY LNLouisiana, MO 63353-2415
Mailing Address800 Kelly LnLouisiana, MO 63353-2415 · (573) 754-4020 · Fax (573) 754-4306
Phone(573) 754-4020
Fax(573) 754-4306
Organization SubpartNo
Authorized OfficialKaren Ruth LynnAdministrator · (573) 754-4020
Enumeration DateMay 15, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124234299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MO · 025974
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.

800 KELLY LN, Louisiana, MO 63353
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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 26D0926471

Lynn's Heritage House, Inc · Louisiana, MO
Active · expires Mar 23, 2027
CLIA Number26D0926471
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorKaren R. Lynn
Laboratory Phone(573) 754-4020
Laboratory LocationLynn's Heritage House, Inc800 Kelly Lane, Louisiana, MO 63353
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is LYNN'S HERITAGE HOUSE, INC's NPI number?

The NPI number assigned to this healthcare provider is 1124234299, enumerated as an "organization" on May 15, 2007.

Where is the provider located?

The provider is located at 800 KELLY LN LOUISIANA, MO 63353 and the phone number is (573) 754-4020.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.