MARYMOUNT MANOR LLC
NPI 1598828774
Assisted Living Facility in Eureka, MO

NPI Status: Active since December 18, 2006

Contact Information

313 AUGUSTINE RD
EUREKA, MO
ZIP 63025
Phone: (636) 938-6770
Fax: (636) 938-3742

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0671502
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About MARYMOUNT MANOR LLC

This page provides the complete NPI Profile along with additional information for Marymount Manor Llc, a provider established in Eureka, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1598828774 assigned on December 2006. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Charles J Riley Sr. (Memeber)

NPI
1598828774
Provider Name
MARYMOUNT MANOR LLC
Entity Type
Organization
Location Address
313 AUGUSTINE RD EUREKA, MO 63025
Location Phone
(636) 938-6770
Location Fax
(636) 938-3742
Mailing Address
1749 GILSINN LN FENTON, MO 63026
Mailing Phone
(636) 349-2311
Mailing Fax
(636) 938-3742
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-18-2006
Last Update Date
08-22-2020
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

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

MR. CHARLES J RILEY SR.

Authorized Official Title
MEMEBER
Authorized Official Phone
(636) 349-2311

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
26D0671502
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BRITTANY HERRIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marymount Manor Llc 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 1598828774, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

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
5
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 9 → 18 → 9 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 8 + 8 + 1 + 6 + 2 + 1 + 6 + 7 + 1 + 4 + 24 = 76

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

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1598828774.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Skilled Nursing Facility
313 AUGUSTINE RD
EUREKA, MO 63025
Assisted Living Facility
313 AUGUSTINE RD
EUREKA, MO 63025
Skilled Nursing Facility
313 AUGUSTINE RD
EUREKA, MO 63025
Occupational Therapy Assistant
313 AUGUSTINE RD
EUREKA, MO 63025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598828774, enumerated as an "organization" on December 18, 2006.

The provider is located at 313 AUGUSTINE RD EUREKA, MO 63025 and the phone number is (636) 938-6770.

Assisted Living Facility with taxonomy code 310400000X.