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

Q: What is Clark Supported Living's NPI number?

The NPI number for Clark Supported Living is 1326514381. It was assigned to this organization in the NPPES registry on October 17, 2018. The provider is also known as CSL Missouri.

Q: What is Clark Supported Living's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Active since October 17, 2018

303 MACAW DR, COLUMBIA, MO 65202(773) 332-6106 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clark Supported Living NPPES

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

CLARK SUPPORTED LIVING (NPI 1326514381) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Columbia, Missouri and active in the NPI registry since October 2018. The organization lists Zondra D Clark, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326514381

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameCLARK SUPPORTED LIVING

Location Address303 MACAW DRColumbia, MO 65202

Mailing Address303 Macaw DrColumbia, MO 65202-6284 · (773) 332-6106

Phone(773) 332-6106

Organization SubpartNo

Authorized OfficialZondra D ClarkExecutive Director · (773) 332-6106

Enumeration DateOctober 17, 2018

✔ NPI 1326514381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320600000X

Definition

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.

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X

Also ListedMealsTaxonomy 174200000X

Also ListedCase ManagementTaxonomy 251B00000X

Also ListedNursing CareTaxonomy 251J00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedSupports BrokerageTaxonomy 251X00000X

Also ListedIn Home Supportive CareTaxonomy 253Z00000X

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X

Also ListedRespite CareTaxonomy 385H00000X

Also ListedRespite Care · Respite Care, Mental Illness, ChildTaxonomy 385HR2055X

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

Also ListedRespite Care · Respite Care, Physical Disabilities, ChildTaxonomy 385HR2065X

303 MACAW DR, Columbia, MO 65202

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Other Names 1

Other NameCsl Missouri

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 SINGLE SPECIALTY GROUP

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 Clark Supported Living's NPI number?

The NPI number for Clark Supported Living is 1326514381. It was assigned to this organization in the NPPES registry on October 17, 2018. The provider is also known as CSL Missouri.

Where is Clark Supported Living located?

Clark Supported Living is located at 303 Macaw Dr, Columbia, MO 65202. The listed phone number is (773) 332-6106.

What is Clark Supported Living's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Clark Supported Living was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.