COLUMBIA STREET RESIDENTIAL CARE CENTER, LLC
NPI 1356908321
Assisted Living Facility - Assisted Living, Mental Illness in Farmington, MO
About Columbia Street Residential Care Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLUMBIA STREET RESIDENTIAL CARE CENTER, LLC (NPI 1356908321) is a healthcare organization registered as an assisted living, mental illness in Farmington, Missouri and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Karen E. Veach, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 26D2124375
Columbia Street Residential Care Center LLC · Farmington, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Columbia Street Residential Care Center, LLC's NPI number?
The NPI number for Columbia Street Residential Care Center, LLC is 1356908321. It was assigned to this organization in the NPPES registry on May 24, 2019.
Where is Columbia Street Residential Care Center, LLC located?
Columbia Street Residential Care Center, LLC is located at 208 W Columbia St, Farmington, MO 63640. The listed phone number is (573) 330-3760.
What is Columbia Street Residential Care Center, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.
Does Columbia Street Residential Care Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2124375) is associated with this NPI, valid through January 16, 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 Columbia Street Residential Care Center, LLC was last updated on May 24, 2019. 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.
# Columbia Street Residential Care Center, Llc · NPI 1356908321
Assisted Living, Mental Illness organization in Farmington, Missouri. Organization record, active in the CMS NPPES registry since May 24, 2019.
## Identity
- **NPI:** 1356908321 (Entity type: Organization)
- **Enumerated:** May 24, 2019
- **Primary specialty:** Assisted Living Facility - Assisted Living, Mental Illness · taxonomy 3104A0625X
- **Organization subpart:** No
- **Authorized official:** Karen Veach, OWNER
## Practice location
- **Address:** 208 W COLUMBIA ST, Farmington, MO 63640-1705
- **Phone:** (573) 330-3760
## Record status
- **NPPES last updated:** May 24, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356908321) · Data from the CMS NPPES public registry.