STOVER'S RESIDENTIAL CARE FACILITY
NPI 1629793484
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Milan, MO

Active since October 05, 2022CLIA 26D0950885 · Waiver

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stover's Residential Care Facility NPPES

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

STOVER'S RESIDENTIAL CARE FACILITY (NPI 1629793484) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Milan, Missouri and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Joshua Chambers, President, as its authorized official.

NPPES Registry Identity

NPI1629793484
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTOVER'S RESIDENTIAL CARE FACILITY
Location Address520 E 5TH STMilan, MO 63556-1222
Mailing Address520 E 5th StMilan, MO 63556-1222 · (660) 265-3262
Organization SubpartYesParent: Horizons Health Senior Care Group
Authorized OfficialJoshua ChambersPresident · (631) 640-6433
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
NPI 1629793484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
520 E 5TH ST, Milan, MO 63556

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 26D0950885

Stovers Residential Care Facility I · Milan, MO
Active · expires Oct 19, 2027
CLIA Number26D0950885
Laboratory TypeOther
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDonna R. Hulett
Laboratory Phone(660) 265-3262
Laboratory LocationStovers Residential Care Facility I520 E 5th Street, Milan, MO 63556
CLIA data matches this NPI record on: Address 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.

Assisted Living Facility (Assisted Living, Behavioral Disturbances)
520 E 5TH ST
MILAN, MO 63556

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 Stover's Residential Care Facility's NPI number?

The NPI number for Stover's Residential Care Facility is 1629793484. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Stover's Residential Care Facility located?

Stover's Residential Care Facility is located at 520 E 5th St, Milan, MO 63556. The listed phone number is (660) 265-3262.

What is Stover's Residential Care Facility's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Stover's Residential Care Facility hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0950885) is associated with this NPI, valid through October 19, 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 Stover's Residential Care Facility was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.