LACLEDE GROVES
NPI 1457924755
Licensed Practical Nurse in Saint Louis, MO
NPI Status: Active since July 23, 2021
Contact Information
727 S LACLEDE STATION RD
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 446-2462
Fax: (314) 446-2397
- Organization
- Licensed Practical Nurse
- CLIA Number: 26D2072865
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-01-2028
About LACLEDE GROVES
This page provides the complete NPI Profile along with additional information for Laclede Groves, a provider established in Saint Louis, Missouri operating as a Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1457924755 assigned on July 2021. The practitioner's primary taxonomy code is 164W00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Otha Thomas Lpn (Director Of Health Services)
- NPI
- 1457924755
- Provider Name
- LACLEDE GROVES
- Entity Type
- Organization
- Location Address
- 727 S LACLEDE STATION RD SAINT LOUIS, MO 63119
- Location Phone
- (314) 446-2462
- Location Fax
- (314) 446-2397
- Mailing Address
- 727 S LACLEDE STATION RD SAINT LOUIS, MO 63119
- Mailing Phone
- (314) 446-2462
- Mailing Fax
- (314) 446-2397
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2021
- Last Update Date
- 07-23-2021
- Code Navigator
Location Map
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
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- Taxonomy Description
- A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 26D2072865
- Facility Type
- Community Clinic
- Certificate Effective Date
- May 02, 2026
- Certificate Expiration Date
- May 01, 2028
- Laboratory Director
- VALERIA COOPER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Laclede Groves 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 1457924755, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457924755, enumerated as an "organization" on July 23, 2021.
The provider is located at 727 S LACLEDE STATION RD SAINT LOUIS, MO 63119 and the phone number is (314) 446-2462.
Licensed Practical Nurse with taxonomy code 164W00000X.
