BARNABAS REDWOOD MANOR
NPI 1669801668
Assisted Living Facility - Assisted Living, Mental Illness in Bourbon, MO

NPI Status: Active since November 11, 2013

Contact Information

1194 LANDON RD
BOURBON, MO
ZIP 65441
Phone: (573) 468-8150

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  • Organization
  • Assisted Living Facility
  • Assisted Living, Mental Illness
  • CLIA Number: 26D2142479
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-10-2028

About BARNABAS REDWOOD MANOR

This page provides the complete NPI Profile along with additional information for Barnabas Redwood Manor, a provider established in Bourbon, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1669801668 assigned on November 2013. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Barnabas Redwood Manor. The authorized official of this NPI record is Michael Ewing (President)

NPI
1669801668
Provider Legal Name
BARNABAS OPERATIONS #2
Other Organization Name
BARNABAS REDWOOD MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1194 LANDON RD BOURBON, MO 65441
Location Phone
(573) 468-8150
Mailing Address
25896 PLEASANT VALLEY RD WELLSVILLE, KS 66092
Mailing Phone
(913) 416-2232
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-11-2013
Last Update Date
11-11-2013
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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 Assisted Living, Mental Illness

Taxonomy Code
3104A0625X
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 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.

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

MICHAEL EWING

Authorized Official Title
PRESIDENT
Authorized Official Phone
(913) 416-2232

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
26D2142479
Facility Type
Assisted Living Facility
Certificate Effective Date
January 11, 2026
Certificate Expiration Date
January 10, 2028
Laboratory Director
STEPHANIE A. HUGHES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Barnabas Redwood Manor 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 1669801668, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
8
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 6 → 12 → 3 8 → 16 → 7 1 → 2 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 6 + 0 + 2 + 6 + 1 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1669801668.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Assisted Living Facility
1194 LANDON RD
BOURBON, MO 65441
Community Based Residential Treatment Facility, Mental Illness
1194 LANDON RD
BOURBON, MO 65441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669801668, enumerated as an "organization" on November 11, 2013.

The provider is located at 1194 LANDON RD BOURBON, MO 65441 and the phone number is (573) 468-8150.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.