PONY BIRD INCORPORATED
NPI 1396865713
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mapaville, MO

NPI Status: Active since March 30, 2007

Contact Information

#1 PONY BIRD LANE
MAPAVILLE, MO
ZIP 63065
Phone: (636) 931-5818
Fax: (636) 931-3518

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 26D2237764
  • CLIA Cert. Type: Other - RESIDENTIAL GROUP HOME-ID
  • CLIA Exp. Date: 09-27-2027

About PONY BIRD INCORPORATED

This page provides the complete NPI Profile along with additional information for Pony Bird Incorporated, a provider established in Mapaville, Missouri operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1396865713 assigned on March 2007. The practitioner's primary taxonomy code is 320600000X with license number 1351-8421 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mrs. Linda M Dallas Bsn, Mahsm (Executive Director)

NPI
1396865713
Provider Name
PONY BIRD INCORPORATED
Entity Type
Organization
Location Address
#1 PONY BIRD LANE MAPAVILLE, MO 63065
Location Phone
(636) 931-5818
Location Fax
(636) 931-3518
Mailing Address
PO BOX 190 MAPAVILLE, MO 63065
Mailing Phone
(636) 931-5818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-30-2007
Last Update Date
08-22-2020
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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
License No.
1351-8421
License State
MO
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.

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

MRS. LINDA M DALLAS BSN, MAHSM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(636) 931-5818

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
26D2237764
Facility Type
Other - RESIDENTIAL GROUP HOME-ID
Certificate Effective Date
September 28, 2025
Certificate Expiration Date
September 27, 2027
Laboratory Director
PANNI R. INESS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pony Bird Incorporated 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 1396865713, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 1 + 6 + 6 + 1 + 0 + 7 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1396865713.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
#1 PONY BIRD LANE
MAPAVILLE, MO 63065

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396865713, enumerated as an "organization" on March 30, 2007.

The provider is located at #1 PONY BIRD LANE MAPAVILLE, MO 63065 and the phone number is (636) 931-5818.

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