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ADVANCE ASSISTED LIVING
NPI 1336490820
Assisted Living Facility in Advance, MO

Active since September 25, 2012CLIA 26D2128264 · Waiver
20104 STATE HIGHWAY O, ADVANCE, MO 63730(573) 722-5200(573) 722-3239 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advance Assisted Living NPPES

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

ADVANCE ASSISTED LIVING (NPI 1336490820) is a healthcare organization registered as an assisted living facility in Advance, Missouri and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Jeffrey Edward Newman, Llc Member, as its authorized official.

NPPES Registry Identity

NPI1336490820
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameADVANCE MISSOURI HEALTH CARE
Location Address20104 STATE HIGHWAY OAdvance, MO 63730-0790
Mailing AddressP.o. Box 790Advance, MO 63730-0790 · (573) 722-5200 · Fax (573) 722-3239
Phone(573) 722-5200
Fax(573) 722-3239
Organization SubpartNo
Authorized OfficialJeffrey Edward NewmanLlc Member · (573) 686-5242
Enumeration DateSeptember 25, 2012
✔ NPI 1336490820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MO · 040505
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
20104 STATE HIGHWAY O, Advance, MO 63730
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Other Names 1

Doing Business AsAdvance Assisted Living

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 26D2128264

Advance Assisted Living · Advance, MO
Active · expires Mar 27, 2027
CLIA Number26D2128264
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2025
Certificate Expiration DateMarch 27, 2027
Laboratory DirectorDebbie K. Newman
Laboratory Phone(573) 722-5200
Laboratory LocationAdvance Assisted Living525 Payton Place, Advance, MO 63730
CLIA data matches this NPI record on: 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 Advance Missouri Health Care's NPI number?

The NPI number for Advance Missouri Health Care is 1336490820. It was assigned to this organization in the NPPES registry on September 25, 2012. The provider is doing business as Advance Assisted Living.

Where is Advance Missouri Health Care located?

Advance Missouri Health Care is located at 20104 State Highway O, Advance, MO 63730. The listed phone number is (573) 722-5200.

What is Advance Missouri Health Care's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Advance Missouri Health Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2128264) is associated with this NPI, valid through March 27, 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 Advance Missouri Health Care was last updated on September 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.