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COATES STREET COMFORT HOUSE
NPI 1467678474
Assisted Living Facility in Moberly, MO

Active since April 18, 2007CLIA 26D2135048 · Waiver
612 WEST COATES ST, MOBERLY, MO 65270(660) 263-6759(660) 263-0677 Get Directions Write a Review

NPPES record last updated: March 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coates Street Comfort House NPPES

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

COATES STREET COMFORT HOUSE (NPI 1467678474) is a healthcare organization registered as an assisted living facility in Moberly, Missouri and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 14, 2027 and lists Randy Duane Burke, Admin, as its authorized official.

NPPES Registry Identity

NPI1467678474
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOATES STREET COMFORT HOUSE
Location Address612 WEST COATES STMoberly, MO 65270-1319
Mailing Address612 W Coates StMoberly, MO 65270-1319 · (660) 263-6759 · Fax (660) 263-0677
Phone(660) 263-6759
Fax(660) 263-0677
Organization SubpartNo
Authorized OfficialRandy Duane BurkeAdmin · (660) 263-6759
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 20, 2008
✔ NPI 1467678474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MO · 033516
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
612 WEST COATES ST, Moberly, MO 65270
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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 26D2135048

Coates Street Comfort Street House, LLC · Moberly, MO
Active · expires Aug 14, 2027
CLIA Number26D2135048
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorRandy Burke
Laboratory Phone(660) 263-6759
Laboratory LocationCoates Street Comfort Street House, LLC612 West Coates Street, Moberly, MO 65270
CLIA data matches this NPI record on: Address 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 Coates Street Comfort House's NPI number?

The NPI number for Coates Street Comfort House is 1467678474. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Coates Street Comfort House located?

Coates Street Comfort House is located at 612 West Coates St, Moberly, MO 65270. The listed phone number is (660) 263-6759.

What is Coates Street Comfort House's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Coates Street Comfort House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2135048) is associated with this NPI, valid through August 14, 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 Coates Street Comfort House was last updated on March 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.