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GRAN VILLAS NEOSHO
NPI 1316017544
Clinic/Center - Adult Day Care in Neosho, MO

Active since November 08, 2006CLIA 26D0955662 · Waiver
420 W LYON DR, NEOSHO, MO 64850(417) 451-7071(417) 451-5127 Get Directions Write a Review

NPPES record last updated: April 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gran Villas Neosho NPPES

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

GRAN VILLAS NEOSHO (NPI 1316017544) is a healthcare organization registered as an adult day care in Neosho, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through January 5, 2027 and lists Cathy W Fisher, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316017544
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameMEDICALODGES, INC.
Location Address420 W LYON DRNeosho, MO 64850-9194
Mailing Address420 W Lyon DrNeosho, MO 64850-9194 · (417) 451-7071 · Fax (417) 451-5127
Phone(417) 451-7071
Fax(417) 451-5127
Organization SubpartNo
Authorized OfficialCathy W FisherChief Financial Officer · (620) 251-6700
Enumeration DateNovember 8, 2006
Last NPPES UpdateApril 19, 2011
✔ NPI 1316017544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
License✔ Licensed in MO · 031639
Also ListedHome HealthTaxonomy 251E00000X · License 031639 (MO)
420 W LYON DR, Neosho, MO 64850
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Other Names 1

Doing Business AsGran Villas Neosho

Other Identifiers 2

Medicaid268025509MO
Medicaid031639MO

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 26D0955662

Gran Villas,the · Neosho, MO
Active · expires Jan 5, 2027
CLIA Number26D0955662
Laboratory TypeOther
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorTressa Wilson
Laboratory Phone(417) 451-7071
Laboratory LocationGran Villas,the420 Lyon Drive, Neosho, MO 64850
CLIA data matches this NPI record on: 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 Medicalodges, Inc.'s NPI number?

The NPI number for Medicalodges, Inc. is 1316017544. It was assigned to this organization in the NPPES registry on November 8, 2006. The provider is doing business as Gran Villas Neosho.

Where is Medicalodges, Inc. located?

Medicalodges, Inc. is located at 420 W Lyon Dr, Neosho, MO 64850. The listed phone number is (417) 451-7071.

What is Medicalodges, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Medicalodges, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0955662) is associated with this NPI, valid through January 5, 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 Medicalodges, Inc. was last updated on April 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.