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CRANE RESIDENTIAL CARE HOME
NPI 1730219973
Assisted Living Facility - Assisted Living, Mental Illness in Crane, MO

Active since March 06, 2007CLIA 26D0957816 · Waiver
102 E LILLIAN AVE, CRANE, MO 65633(417) 723-5900(417) 723-8559 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crane Residential Care Home NPPES

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

CRANE RESIDENTIAL CARE HOME (NPI 1730219973) is a healthcare organization registered as an assisted living, mental illness in Crane, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through March 2, 2027 and lists Troy Hall Davidson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730219973
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameTDIII,INC
Location Address102 E LILLIAN AVECrane, MO 65633-9103
Mailing Address4781 S Twin Lakes AveSpringfield, MO 65810-1548 · (417) 723-5900 · Fax (417) 723-8559
Phone(417) 723-5900
Fax(417) 723-8559
Organization SubpartNo
Authorized OfficialTroy Hall DavidsonCeo · (417) 890-8172
Enumeration DateMarch 6, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730219973 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
License✔ Licensed in MO · 033564
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.
102 E LILLIAN AVE, Crane, MO 65633
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Other Names 1

Doing Business AsCrane Residential Care Home

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 26D0957816

Crane Residential Care Home · Crane, MO
Active · expires Mar 2, 2027
CLIA Number26D0957816
Laboratory TypeOther
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorTroy H. Davidson III
Laboratory Phone(417) 723-5900
Laboratory LocationCrane Residential Care Home102 Lillian Street, Crane, MO 65633
CLIA data matches this NPI record on: 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 Tdiii,inc's NPI number?

The NPI number for Tdiii,inc is 1730219973. It was assigned to this organization in the NPPES registry on March 6, 2007. The provider is doing business as Crane Residential Care Home.

Where is Tdiii,inc located?

Tdiii,inc is located at 102 E Lillian Ave, Crane, MO 65633. The listed phone number is (417) 723-5900.

What is Tdiii,inc's specialty?

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

Does Tdiii,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0957816) is associated with this NPI, valid through March 2, 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 Tdiii,inc 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.