HIGGINSVILLE HABILITATION CENTER-CRISIS
NPI 1487931358
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Higginsville, MO

NPI Status: Active since November 07, 2011

Contact Information

100 W 1ST ST
HIGGINSVILLE, MO
ZIP 64037
Phone: (660) 584-2142
Fax: (660) 584-6244

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 26D0881545
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 01-11-2028

About HIGGINSVILLE HABILITATION CENTER-CRISIS

This page provides the complete NPI Profile along with additional information for Higginsville Habilitation Center-crisis, a provider established in Higginsville, Missouri operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1487931358 assigned on November 2011. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Higginsville Habilitation Center-crisis. The authorized official of this NPI record is Molly Jane Boeckmann (Director Of Administrative Services)

NPI
1487931358
Provider Legal Name
STATE OF MISSOURI
Other Organization Name
HIGGINSVILLE HABILITATION CENTER-CRISIS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 W 1ST ST HIGGINSVILLE, MO 64037
Location Phone
(660) 584-2142
Location Fax
(660) 584-6244
Mailing Address
1706 E ELM ST ATTN REIMBURSEMENTS PO BOX 687 JEFFERSON CITY, MO 65102
Mailing Phone
(573) 751-3398
Mailing Fax
(660) 584-6244
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-07-2011
Last Update Date
08-28-2020
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MOLLY JANE BOECKMANN

Authorized Official Title
DIRECTOR OF ADMINISTRATIVE SERVICES
Authorized Official Phone
(573) 751-4055

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
26D0881545
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
January 12, 2026
Certificate Expiration Date
January 11, 2028
Laboratory Director
JERAMIAH GANDHI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Higginsville Habilitation Center-crisis 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 1487931358, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 8 → 16 → 7 9 → 18 → 9 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 1 + 8 + 3 + 2 + 3 + 1 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1487931358.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Nurse Practitioner (Family)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Nurse Practitioner (Family)
100 W 1ST ST
HIGGINSVILLE, MO 64037
Intermediate Care Facility, Intellectual Disabilities
100 W 1ST ST
HIGGINSVILLE, MO 64037
Day Training, Developmentally Disabled Services
100 W 1ST ST
HIGGINSVILLE, MO 64037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487931358, enumerated as an "organization" on November 07, 2011.

The provider is located at 100 W 1ST ST HIGGINSVILLE, MO 64037 and the phone number is (660) 584-2142.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.