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SOUTH HAVEN RESIDENTIAL CARE LLC
NPI 1538286265
Assisted Living Facility - Assisted Living, Mental Illness in Mineral Point, MO

Active since March 26, 2007CLIA 26D2132523 · Waiver
10462 AIRPORT RD, MINERAL POINT, MO 63660(573) 438-4150(573) 438-4156 Get Directions Write a Review

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

About South Haven Residential Care Llc NPPES

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

SOUTH HAVEN RESIDENTIAL CARE LLC (NPI 1538286265) is a healthcare organization registered as an assisted living, mental illness in Mineral Point, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Patricia Anderson, Secretary, as its authorized official.

NPPES Registry Identity

NPI1538286265
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameSOUTH HAVEN RESIDENTIAL CARE LLC
Location Address10462 AIRPORT RDMineral Point, MO 63660-9325
Mailing Address231 S Main St, Suite BIronton, MO 63650-1307 · (573) 546-1616 · Fax (573) 546-6465
Phone(573) 438-4150
Fax(573) 438-4156
Organization SubpartNo
Authorized OfficialPatricia AndersonSecretary · (573) 546-1616
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538286265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in MO · 033284
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
10462 AIRPORT RD, Mineral Point, MO 63660
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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 26D2132523

South Haven Residential Care Center LLC · Mineral Point, MO
Active · expires Jun 20, 2027
CLIA Number26D2132523
Laboratory TypeResidential Care Facility
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorKaren Veach
Laboratory Phone(573) 438-4150
Laboratory LocationSouth Haven Residential Care Center LLC10462 Airport Road, Mineral Point, MO 63660
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOUTH HAVEN RESIDENTIAL CARE CENTER, LLC
Assisted Living Facility (Assisted Living, Mental Illness)
10462 AIRPORT RD
MINERAL POINT, MO 63660
Washington County (573) 438-4150

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 South Haven Residential Care LLC's NPI number?

The NPI number for South Haven Residential Care LLC is 1538286265. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is South Haven Residential Care LLC located?

South Haven Residential Care LLC is located at 10462 Airport Rd, Mineral Point, MO 63660. The listed phone number is (573) 438-4150.

What is South Haven Residential Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does South Haven Residential Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2132523) is associated with this NPI, valid through June 20, 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 South Haven Residential Care LLC 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.