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COLONIAL MANOR LLC
NPI 1437219508
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Sikeston, MO

Active since December 11, 2006CLIA 26D0971454 · Waiver
907 W MALONE AVE, SIKESTON, MO 63801(573) 471-5541(573) 471-3063 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colonial Manor Llc NPPES

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

COLONIAL MANOR LLC (NPI 1437219508) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Sikeston, Missouri and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Linda F Atchley, Operator, as its authorized official.

NPPES Registry Identity

NPI1437219508
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCOLONIAL MANOR LLC
Location Address907 W MALONE AVESikeston, MO 63801-2425
Mailing Address907 W Malone AveSikeston, MO 63801-2425 · (573) 471-5541 · Fax (573) 471-3063
Phone(573) 471-5541
Fax(573) 471-3063
Organization SubpartNo
Authorized OfficialLinda F AtchleyOperator · (573) 471-5541
Enumeration DateDecember 11, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1437219508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MO · 320600000X
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.
907 W MALONE AVE, Sikeston, MO 63801
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Other Identifiers 1

Medicaid266744804MO

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 26D0971454

Colonial Manor, LLC · Sikeston, MO
Active · expires Mar 13, 2028
CLIA Number26D0971454
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorLinda F. Atchley
Laboratory Phone(573) 471-5541
Laboratory LocationColonial Manor, LLC907 W Malone, Sikeston, MO 63801
CLIA data matches this NPI record on: Address 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 Colonial Manor LLC's NPI number?

The NPI number for Colonial Manor LLC is 1437219508. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is Colonial Manor LLC located?

Colonial Manor LLC is located at 907 W Malone Ave, Sikeston, MO 63801. The listed phone number is (573) 471-5541.

What is Colonial Manor LLC's specialty?

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

Does Colonial Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0971454) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Colonial Manor LLC was last updated on June 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.