CLARK SUPPORTED LIVING
NPI 1326514381
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbia, MO

NPI Status: Active since October 17, 2018

Contact Information

303 MACAW DR
COLUMBIA, MO
ZIP 65202
Phone: (773) 332-6106

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  • Organization
  • Residential Treatment Facility, Intellec...

About CLARK SUPPORTED LIVING

This page provides the complete NPI Profile along with additional information for Clark Supported Living, a provider established in Columbia, Missouri operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1326514381 assigned on October 2018. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Zondra D Clark Rn (Executive Director)

NPI
1326514381
Provider Name
CLARK SUPPORTED LIVING
Entity Type
Organization
Location Address
303 MACAW DR COLUMBIA, MO 65202
Location Phone
(773) 332-6106
Mailing Address
303 MACAW DR COLUMBIA, MO 65202
Mailing Phone
(773) 332-6106
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-17-2018
Last Update Date
10-17-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WC1500XNursing Service Providers

Registered Nurse
Community Health

 
2174200000XOther Service Providers

Meals

 
3251B00000XAgencies

Case Management

 
4251J00000XAgencies

Nursing Care

 
5251S00000XAgencies

Community/Behavioral Health

 
6251X00000XAgencies

Supports Brokerage

 
7253Z00000XAgencies

In Home Supportive Care

 
8261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

 
9261QD1600XAmbulatory Health Care Facilities

Clinic/Center
Developmental Disabilities

 
10320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 
11385H00000XRespite Care Facility

Respite Care

 
12385HR2055XRespite Care Facility

Respite Care
Respite Care, Mental Illness, Child

 
13385HR2060XRespite Care Facility

Respite Care
Respite Care, Intellectual and/or Developmental Disabilities

 
14385HR2065XRespite Care Facility

Respite Care
Respite Care, Physical Disabilities, Child

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ZONDRA D CLARK RN

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(773) 332-6106

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326514381, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 1 + 0 + 1 + 8 + 3 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1326514381.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326514381, enumerated as an "organization" on October 17, 2018.

The provider is located at 303 MACAW DR COLUMBIA, MO 65202 and the phone number is (773) 332-6106.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.