KNOX COUNTY RESIDENTIAL CARE FACILITY
NPI 1215928130
Assisted Living Facility in Edina, MO

Q: What is Knox County Nursing Home District's NPI number?

The NPI number for Knox County Nursing Home District is 1215928130. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is also known as Knox County Residential Care Facility.

Q: What is Knox County Nursing Home District's specialty?

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

Active since October 31, 2005CLIA 26D0886722 · Waiver

RR 3 BOX 53, EDINA, MO 63537(660) 397-2282(660) 397-2284 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Knox County Residential Care Facility NPPES

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

KNOX COUNTY RESIDENTIAL CARE FACILITY (NPI 1215928130) is a healthcare organization registered as an assisted living facility in Edina, Missouri and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through November 21, 2027 and lists Tim Schrage, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215928130

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameKNOX COUNTY NURSING HOME DISTRICT

Location AddressRR 3 BOX 53Edina, MO 63537-9677

Mailing AddressRr 3 Box 53Edina, MO 63537-9677 · (660) 397-2282 · Fax (660) 397-2284

Phone(660) 397-2282

Fax(660) 397-2284

Organization SubpartNo

Authorized OfficialTim SchrageAdministrator · (660) 397-2282

Enumeration DateOctober 31, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1215928130 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 · 030962

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.

RR 3 BOX 53, Edina, MO 63537

Open in Google Maps ↗

Other Names 1

Other NameKnox County Residential Care Facility

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 26D0886722

Knox County Nursing Home District · Edina, MO

Active · expires Nov 21, 2027

CLIA Number26D0886722

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateNovember 22, 2025

Certificate Expiration DateNovember 21, 2027

Laboratory DirectorKatlind Murry

Laboratory Phone(660) 397-2282

Laboratory LocationKnox County Nursing Home District55774 State Highway 6, Edina, MO 63537

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 Knox County Nursing Home District's NPI number?

The NPI number for Knox County Nursing Home District is 1215928130. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is also known as Knox County Residential Care Facility.

Where is Knox County Nursing Home District located?

Knox County Nursing Home District is located at Rr 3 Box 53, Edina, MO 63537. The listed phone number is (660) 397-2282.

What is Knox County Nursing Home District's specialty?

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

Does Knox County Nursing Home District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0886722) is associated with this NPI, valid through November 21, 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 Knox County Nursing Home District 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.