PARKSIDE MANOR LLC
NPI 1457917247
Assisted Living Facility - Assisted Living, Mental Illness in Bowling Green, MO

Active since May 16, 2019CLIA 26D2168225 · Waiver
300 S SAINT CHARLES ST, BOWLING GREEN, MO 63334(573) 324-9918 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Parkside Manor Llc NPPES

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

PARKSIDE MANOR LLC (NPI 1457917247) is a healthcare organization registered as an assisted living, mental illness in Bowling Green, Missouri and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Karen Harrower, Adimistrator, as its authorized official.

NPPES Registry Identity

NPI1457917247
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NamePARKSIDE MANOR LLC
Location Address300 S SAINT CHARLES STBowling Green, MO 63334-2221
Mailing Address300 S Saint Charles StBowling Green, MO 63334-2221 · (573) 324-9918 · Fax (573) 324-9918
Organization SubpartNo
Authorized OfficialKaren HarrowerAdimistrator · (573) 324-9918
Enumeration DateMay 16, 2019
NPI 1457917247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition

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.

300 S SAINT CHARLES ST, Bowling Green, MO 63334

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 26D2168225

Parkside Manor LLC · Bowling Green, MO
Active · expires Jun 24, 2027
CLIA Number26D2168225
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorKaren Harrower
Laboratory Phone(573) 324-9918
Laboratory LocationParkside Manor LLC300 S St Charles, Bowling Green, MO 63334
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
300 S SAINT CHARLES ST
BOWLING GREEN, MO 63334

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 Parkside Manor LLC's NPI number?

The NPI number for Parkside Manor LLC is 1457917247. It was assigned to this organization in the NPPES registry on May 16, 2019.

Where is Parkside Manor LLC located?

Parkside Manor LLC is located at 300 S Saint Charles St, Bowling Green, MO 63334. The listed phone number is (573) 324-9918.

What is Parkside Manor 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 Parkside Manor LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2168225) is associated with this NPI, valid through June 24, 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 Parkside Manor LLC was last updated on May 16, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.