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BUTTERFIELD RESIDENTIAL CARE CENTER
NPI 1689791311
Assisted Living Facility in Bolivar, MO

Active since March 26, 2007CLIA 26D0873320 · Waiver
1120 N BUTTERFIELD RD, BOLIVAR, MO 65613(417) 326-5200(417) 777-5130 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Butterfield Residential Care Center NPPES

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

BUTTERFIELD RESIDENTIAL CARE CENTER (NPI 1689791311) is a healthcare organization registered as an assisted living facility in Bolivar, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Renee Marie Meyer, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1689791311
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCITIZENS MEMORIAL HEALTH CARE FOUNDATION
Location Address1120 N BUTTERFIELD RDBolivar, MO 65613-1000
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6242
Phone(417) 326-5200
Fax(417) 777-5130
Organization SubpartNo
Authorized OfficialRenee Marie MeyerDirector Of Finance · (417) 328-6258
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689791311 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 · 031242
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.
1120 N BUTTERFIELD RD, Bolivar, MO 65613
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Other Names 1

Doing Business AsButterfield Residential Care Center

Other Identifiers 1

Other031242MO · State License No. 66 Beds

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 26D0873320

Butterfield Residential Care Center · Bolivar, MO
Active · expires Jul 22, 2027
CLIA Number26D0873320
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorTammie Martin
Laboratory Phone(417) 326-5200
Laboratory LocationButterfield Residential Care Center1120 N Butterfield Rd, Bolivar, MO 65613
CLIA data matches this NPI record on: Address Name Phone
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 Citizens Memorial Health Care Foundation's NPI number?

The NPI number for Citizens Memorial Health Care Foundation is 1689791311. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Butterfield Residential Care Center.

Where is Citizens Memorial Health Care Foundation located?

Citizens Memorial Health Care Foundation is located at 1120 N Butterfield Rd, Bolivar, MO 65613. The listed phone number is (417) 326-5200.

What is Citizens Memorial Health Care Foundation's specialty?

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

Does Citizens Memorial Health Care Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0873320) is associated with this NPI, valid through July 22, 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 Citizens Memorial Health Care Foundation was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.