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WALNUT STREET
NPI 1508987546
Assisted Living Facility in Doniphan, MO

Active since April 03, 2007CLIA 26D0968347 · Waiver
102 E SUMMIT ST, DONIPHAN, MO 63935(573) 996-3328(573) 996-7274 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walnut Street NPPES

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

WALNUT STREET (NPI 1508987546) is a healthcare organization registered as an assisted living facility in Doniphan, Missouri and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Bob Adams, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508987546
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIPLEY COUNTY COLONIAL HOME, INC.
Location Address102 E SUMMIT STDoniphan, MO 63935-1328
Mailing Address102 E Summit StDoniphan, MO 63935-1328 · (573) 996-3328 · Fax (573) 996-7274
Phone(573) 996-3328
Fax(573) 996-7274
Organization SubpartNo
Authorized OfficialBob AdamsAdministrator · (573) 996-3328
Enumeration DateApril 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508987546 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 · 028930
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.
102 E SUMMIT ST, Doniphan, MO 63935
Open in Google Maps ↗

Other Names 1

Other NameWalnut Street

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 26D0968347

Walnut Street Residential Care · Doniphan, MO
Active · expires May 29, 2027
CLIA Number26D0968347
Laboratory TypeAssisted Living Facility
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorRobert W. Adams
Laboratory Phone(573) 996-4316
Laboratory LocationWalnut Street Residential Care404 Walnut Street, Doniphan, MO 63935
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

STELLBROOK MANAGEMENT, LLC
Assisted Living Facility
102 E SUMMIT ST
DONIPHAN, MO 63935
Ripley County (573) 712-2992
RIPLEY COUNTY COLONIAL HOME, INC.
Homemaker
102 E SUMMIT ST
DONIPHAN, MO 63935
Ripley County (573) 996-3328
RIPLEY COUNTY COLONIAL HOME, INC.
Homemaker
102 E SUMMIT ST
DONIPHAN, MO 63935
Ripley County (573) 996-3328
RIPLEY COUNTY COLONIAL HOME, INC
Homemaker
102 E SUMMIT ST
DONIPHAN, MO 63935
Ripley County (573) 996-3328
RIPLEY COUNTY COLONIAL HOME, INC.
Assisted Living Facility
102 E SUMMIT ST
DONIPHAN, MO 63935
Ripley County (573) 996-3328

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 Ripley County Colonial Home, Inc.'s NPI number?

The NPI number for Ripley County Colonial Home, Inc. is 1508987546. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is also known as Walnut Street.

Where is Ripley County Colonial Home, Inc. located?

Ripley County Colonial Home, Inc. is located at 102 E Summit St, Doniphan, MO 63935. The listed phone number is (573) 996-3328.

What is Ripley County Colonial Home, Inc.'s specialty?

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

Does Ripley County Colonial Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0968347) is associated with this NPI, valid through May 29, 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 Ripley County Colonial Home, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.