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

Active since November 11, 2013CLIA 26D2142479 · Waiver
1194 LANDON RD, BOURBON, MO 65441(573) 468-8150 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Barnabas Redwood Manor NPPES

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

BARNABAS REDWOOD MANOR (NPI 1669801668) is a healthcare organization registered as an assisted living, mental illness in Bourbon, Missouri and active in the NPI registry since November 2013. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Michael Ewing, President, as its authorized official.

NPPES Registry Identity

NPI1669801668
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameBARNABAS OPERATIONS #2
Location Address1194 LANDON RDBourbon, MO 65441-8218
Mailing Address25896 Pleasant Valley RdWellsville, KS 66092-8307 · (913) 416-2232
Organization SubpartNo
Authorized OfficialMichael EwingPresident · (913) 416-2232
Enumeration DateNovember 11, 2013
NPI 1669801668 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
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.
1194 LANDON RD, Bourbon, MO 65441

Other Names 1

Doing Business AsBarnabas Redwood Manor

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 26D2142479

Barnabas Redwood Manor · Bourbon, MO
Active · expires Jan 10, 2028
CLIA Number26D2142479
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorStephanie A. Hughes
Laboratory Phone(573) 468-8150
Laboratory LocationBarnabas Redwood Manor1194 Landon Road, Bourbon, MO 65441
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 2

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

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Barnabas Operations #2's NPI number?

The NPI number for Barnabas Operations #2 is 1669801668. It was assigned to this organization in the NPPES registry on November 11, 2013. The provider is doing business as Barnabas Redwood Manor.

Where is Barnabas Operations #2 located?

Barnabas Operations #2 is located at 1194 Landon Rd, Bourbon, MO 65441. The listed phone number is (573) 468-8150.

What is Barnabas Operations #2's specialty?

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

Does Barnabas Operations #2 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2142479) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Barnabas Operations #2 was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.