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OAKDALE CARE CENTER ALF
NPI 1487728887
Assisted Living Facility in Poplar Bluff, MO

Active since November 17, 2006CLIA Certified · 2 labs
2711 DEBBIE LN, POPLAR BLUFF, MO 63901(573) 686-5242(573) 686-3637 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 18, 2018, Aug 7, 2017, Jul 10, 2017 and 1 more (4 updates tracked since 2017).

About Oakdale Care Center Alf NPPES

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

OAKDALE CARE CENTER ALF (NPI 1487728887) is a healthcare organization registered as an assisted living facility in Poplar Bluff, Missouri and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Jeff Edward Newman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487728887
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePALLADIAN SENIOR CARE OF POPLAR BLUFF LLC.
Location Address2711 DEBBIE LNPoplar Bluff, MO 63901-2651
Mailing AddressPo Box 340, 2711 Debbie LanePoplar Bluff, MO 63902-0340 · (573) 686-5242 · Fax (573) 686-3637
Phone(573) 686-5242
Fax(573) 686-3637
Organization SubpartNo
Authorized OfficialJeff Edward NewmanAdministrator · (573) 686-5242
Enumeration DateNovember 17, 2006
Last NPPES UpdateApril 18, 20184 updates tracked since enumeration
✔ NPI 1487728887 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 · 032301
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.
2711 DEBBIE LN, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsOakdale Care Center Alf

Other Identifiers 1

Medicaid266734904MO

CLIA Laboratory Certificates CMS CLIA 3

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 26D2127887

Oakdale Care Center Assisted Living · Poplar Bluff, MO
Active · expires Mar 20, 2027
CLIA Number26D2127887
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorKimberly Wilson
Laboratory Phone(573) 686-5242
Laboratory LocationOakdale Care Center Assisted Living2711 Debbie Lane, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D2127886

Oakdale Care Center Assisted Living Allison Gardens · Poplar Bluff, MO
Active · expires Mar 20, 2027
CLIA Number26D2127886
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorKimberly Wilson
Laboratory Phone(573) 686-5242
Laboratory LocationOakdale Care Center Assisted Living Allison Gardens2698 Debbie Lane, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D0889526

Oakdale Care Center · Poplar Bluff, MO
Expired · Jul 31, 2026
CLIA Number26D0889526
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorKimberly Wilson
Laboratory Phone(573) 686-5242
Laboratory LocationOakdale Care Center2702 Debbie Lane, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: 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 Palladian Senior Care Of Poplar Bluff LLC.'s NPI number?

The NPI number for Palladian Senior Care Of Poplar Bluff LLC. is 1487728887. It was assigned to this organization in the NPPES registry on November 17, 2006. The provider is doing business as Oakdale Care Center Alf.

Where is Palladian Senior Care Of Poplar Bluff LLC. located?

Palladian Senior Care Of Poplar Bluff LLC. is located at 2711 Debbie Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5242.

What is Palladian Senior Care Of Poplar Bluff LLC.'s specialty?

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

Does Palladian Senior Care Of Poplar Bluff LLC. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Palladian Senior Care Of Poplar Bluff LLC. was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.