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KIDWELL HOME
NPI 1649453408
Assisted Living Facility in Versailles, MO

Active since December 14, 2007CLIA 26D0720524 · Waiver
1000 KIDWELL DRIVE, VERSAILLES, MO 65084(573) 378-5411(573) 378-5415 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidwell Home NPPES

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

KIDWELL HOME (NPI 1649453408) is a healthcare organization registered as an assisted living facility in Versailles, Missouri and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sandi Leonard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1649453408
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameKIDWELL HOME
Location Address1000 KIDWELL DRIVEVersailles, MO 65084
Mailing Address1101 W Clay RdVersailles, MO 65084-9314 · (573) 378-5411 · Fax (573) 378-5415
Phone(573) 378-5411
Fax(573) 378-5415
Organization SubpartYesParent: Good Shepherd Nursing Home District
Authorized OfficialSandi LeonardAdministrator · (573) 378-5411
Enumeration DateDecember 14, 2007
✔ NPI 1649453408 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 · 032825
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.
1000 KIDWELL DRIVE, Versailles, MO 65084
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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 26D0720524

Kidwell Home · Versailles, MO
Active · expires Aug 31, 2026
CLIA Number26D0720524
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorApril D. Zordel
Laboratory Phone(573) 539-2493
Laboratory LocationKidwell Home1000 Kidwell Drive, Versailles, MO 65084
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Kidwell Home's NPI number?

The NPI number for Kidwell Home is 1649453408. It was assigned to this organization in the NPPES registry on December 14, 2007.

Where is Kidwell Home located?

Kidwell Home is located at 1000 Kidwell Drive, Versailles, MO 65084. The listed phone number is (573) 378-5411.

What is Kidwell Home's specialty?

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

Does Kidwell Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0720524) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kidwell Home was last updated on December 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.