DBA MOCKINGBIRD MANOR RESIDENTIAL CARE
NPI 1700437258
Assisted Living Facility - Assisted Living, Mental Illness in Liberty, MO
NPI Status: Active since September 26, 2019
Contact Information
227 W. FRANKLIN ST
LIBERTY, MO
ZIP 64068
Phone: (816) 781-8058
Fax: (816) 781-8058
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
- CLIA Number: 26D1013844
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-17-2027
About DBA MOCKINGBIRD MANOR RESIDENTIAL CARE
This page provides the complete NPI Profile along with additional information for Dba Mockingbird Manor Residential Care, a provider established in Liberty, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1700437258 assigned on September 2019. The practitioner's primary taxonomy code is 3104A0625X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Dba Mockingbird Manor Residential Care. The authorized official of this NPI record is Amy Kathenne Lombardo (Owner/administrator)
- NPI
- 1700437258
- Provider Legal Name
- MIDWESTERN MEDICAL CONSULTANTS LLC
- Other Organization Name
- DBA MOCKINGBIRD MANOR RESIDENTIAL CARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 227 W. FRANKLIN ST LIBERTY, MO 64068
- Location Phone
- (816) 781-8058
- Location Fax
- (816) 781-8058
- Mailing Address
- P.O. BOX 101 LIBERTY, MO 64069
- Mailing Phone
- (816) 781-8058
- Mailing Fax
- (816) 781-8058
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-26-2019
- Last Update Date
- 09-26-2019
- Code Navigator
Location Map
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.
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
- 26D1013844
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 18, 2025
- Certificate Expiration Date
- June 17, 2027
- Laboratory Director
- AMY K. LOMBARDO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Dba Mockingbird Manor Residential Care 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 1700437258, 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700437258, enumerated as an "organization" on September 26, 2019.
The provider is located at 227 W. FRANKLIN ST LIBERTY, MO 64068 and the phone number is (816) 781-8058.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
