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EQUILIBRIUM RANCH
NPI 1285398024
Assisted Living Facility - Assisted Living, Mental Illness in Cuba, MO

Active since October 27, 2021CLIA 26D2179950 · Waiver
81 PILKENTON LN, CUBA, MO 65453(573) 885-6443(844) 851-0578 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Equilibrium Ranch NPPES

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

EQUILIBRIUM RANCH (NPI 1285398024) is a healthcare organization registered as an assisted living, mental illness in Cuba, Missouri and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through July 21, 2027 and lists Christian B Shelton, Owner, as its authorized official.

NPPES Registry Identity

NPI1285398024
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameEQUILIBRIUM RANCH
Location Address81 PILKENTON LNCuba, MO 65453-8136
Mailing Address81 Pilkenton LnCuba, MO 65453-8136 · (573) 885-6443 · Fax (844) 851-0578
Phone(573) 885-6443
Fax(844) 851-0578
Organization SubpartNo
Authorized OfficialChristian B SheltonOwner · (314) 580-3029
Enumeration DateOctober 27, 2021
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1285398024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedClinical Nurse Specialist · Long-Term CareTaxonomy 364SL0600X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
81 PILKENTON LN, Cuba, MO 65453
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Other Identifiers 5

Medicaid1003364969MO
Medicaid1164781373MO
Medicaid1639213366MO
Medicaid1841769908MO
Medicaid1073655619MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Equilibrium Ranch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Equilibrium Ranch, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Jose Remo, MD
Internal Medicine
NPI 1598876450
101 PROGRESS PKWY
Sullivan, MO 63080
(573) 468-3555
✔ PECOS✔ Accepts Medicare18 mi
Lorna Vaughn, LPC
Mental Health Counselor
NPI 1134711088
1329 MACKLIND AVE FL 2
Saint Louis, MO 63110
(314) 645-7800
✔ PECOS✔ Accepts Medicare75 mi
Barbara Appleman Graham, FNP-BC
Nurse Practitioner
NPI 1922566777
4455 E US ROUTE 36
Decatur, IL 62521
(217) 876-5320
✔ PECOS✔ Accepts Medicare184 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 26D2179950

Equilibrium Ranch · Cuba, MO
Active · expires Jul 21, 2027
CLIA Number26D2179950
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorMarvin Shelton
Laboratory Phone(573) 885-6443
Laboratory LocationEquilibrium Ranch81 Pilkenton Lane #705, Cuba, MO 65453
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 Equilibrium Ranch's NPI number?

The NPI number for Equilibrium Ranch is 1285398024. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Equilibrium Ranch located?

Equilibrium Ranch is located at 81 Pilkenton Ln, Cuba, MO 65453. The listed phone number is (573) 885-6443.

What is Equilibrium Ranch's specialty?

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

Is Equilibrium Ranch enrolled in Medicare?

Yes. Equilibrium Ranch is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Equilibrium Ranch?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Equilibrium Ranch, in Internal Medicine, Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Equilibrium Ranch hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2179950) is associated with this NPI, valid through July 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 Equilibrium Ranch was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.