BLUE CASTLE, LLC
NPI 1245303171
Assisted Living Facility - Assisted Living, Mental Illness in Bolivar, MO

Q: What is Blue Castle, LLC's NPI number?

The NPI number for Blue Castle, LLC is 1245303171. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider was formerly known as Blue Castle Of The Ozarks, Inc.

Q: What is Blue Castle, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Blue Castle, LLC was last updated on June 4, 2021. 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.

Active since November 16, 2006CLIA 26D2085596 · Waiver

1830 E. LAVERN, BOLIVAR, MO 65613(417) 777-2583(417) 326-2584 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2021, Oct 16, 2018 (2 updates tracked since 2018).

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About Blue Castle, Llc NPPES

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

BLUE CASTLE, LLC (NPI 1245303171), doing business as Blue Castle Of The Ozarks, Inc, is a healthcare organization registered as an assisted living, mental illness in Bolivar, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2026 and lists Katie Roweton, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1245303171

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameBLUE CASTLE, LLC

Location Address1830 E. LAVERNBolivar, MO 65613

Mailing Address1830 E. LavernBolivar, MO 65613 · (417) 777-2583 · Fax (417) 326-2584

Phone(417) 777-2583

Fax(417) 326-2584

Organization SubpartNo

Authorized OfficialKatie RowetonOwner/administrator · (417) 399-7979

Enumeration DateNovember 16, 2006

Last NPPES UpdateJune 4, 20212 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1245303171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in MO · 039817

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living FacilityTaxonomy 310400000X

1830 E. LAVERN, Bolivar, MO 65613

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Other Names 1

Former Legal Business NameBlue Castle Of The Ozarks, Inc

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 26D2085596

Blue Castle LLC · Bolivar, MO

Active · expires Oct 16, 2026

CLIA Number26D2085596

Laboratory TypeAssisted Living Facility

Certificate Effective DateOctober 17, 2024

Certificate Expiration DateOctober 16, 2026

Laboratory DirectorKatie Lynn Roweton

Laboratory Phone(417) 777-2583

Laboratory LocationBlue Castle LLC1830 E Laverne, Bolivar, MO 65613

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Castle, LLC's NPI number?

The NPI number for Blue Castle, LLC is 1245303171. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider was formerly known as Blue Castle Of The Ozarks, Inc.

Where is Blue Castle, LLC located?

Blue Castle, LLC is located at 1830 E. Lavern, Bolivar, MO 65613. The listed phone number is (417) 777-2583.

What is Blue Castle, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Blue Castle, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2085596) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Castle, LLC was last updated on June 4, 2021. 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.