COLUMBIA STREET RESIDENTIAL CARE CENTER, LLC
NPI 1356908321
Assisted Living Facility - Assisted Living, Mental Illness in Farmington, MO

NPI Status: Active since May 24, 2019

Contact Information

208 W COLUMBIA ST
FARMINGTON, MO
ZIP 63640
Phone: (573) 330-3760

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness
  • CLIA Number: 26D2124375
  • CLIA Cert. Type: Other - RESIDENTIAL CARE FACILITY
  • CLIA Exp. Date: 01-16-2027

About COLUMBIA STREET RESIDENTIAL CARE CENTER, LLC

This page provides the complete NPI Profile along with additional information for Columbia Street Residential Care Center, Llc, a provider established in Farmington, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1356908321 assigned on May 2019. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Karen E. Veach (Owner)

NPI
1356908321
Provider Name
COLUMBIA STREET RESIDENTIAL CARE CENTER, LLC
Entity Type
Organization
Location Address
208 W COLUMBIA ST FARMINGTON, MO 63640
Location Phone
(573) 330-3760
Mailing Address
PO BOX 272 FARMINGTON, MO 63640
Mailing Phone
(573) 330-3760
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2019
Last Update Date
05-24-2019
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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

Assisted Living Facility Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

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

KAREN E. VEACH

Authorized Official Title
OWNER
Authorized Official Phone
(573) 330-3760

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2124375
Facility Type
Other - RESIDENTIAL CARE FACILITY
Certificate Effective Date
January 17, 2025
Certificate Expiration Date
January 16, 2027
Laboratory Director
KAREN VEACH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Columbia Street Residential Care Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1356908321, 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
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
2
Doubled → 4
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 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 1 + 8 + 0 + 1 + 6 + 3 + 4 + 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 1356908321.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
208 W COLUMBIA ST
FARMINGTON, MO 63640

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356908321, enumerated as an "organization" on May 24, 2019.

The provider is located at 208 W COLUMBIA ST FARMINGTON, MO 63640 and the phone number is (573) 330-3760.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.