CRANE RESIDENTIAL CARE HOME
NPI 1730219973
Assisted Living Facility - Assisted Living, Mental Illness in Crane, MO
NPI Status: Active since March 06, 2007
Contact Information
102 E LILLIAN AVE
CRANE, MO
ZIP 65633
Phone: (417) 723-5900
Fax: (417) 723-8559
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
- CLIA Number: 26D0957816
- CLIA Cert. Type: Other
- CLIA Exp. Date: 03-02-2027
About CRANE RESIDENTIAL CARE HOME
This page provides the complete NPI Profile along with additional information for Crane Residential Care Home, a provider established in Crane, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1730219973 assigned on March 2007. The practitioner's primary taxonomy code is 3104A0625X with license number 033564 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Crane Residential Care Home. The authorized official of this NPI record is Mr. Troy Hall Davidson Iii (Ceo)
- NPI
- 1730219973
- Provider Legal Name
- TDIII,INC
- Other Organization Name
- CRANE RESIDENTIAL CARE HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 102 E LILLIAN AVE CRANE, MO 65633
- Location Phone
- (417) 723-5900
- Location Fax
- (417) 723-8559
- Mailing Address
- 4781 S TWIN LAKES AVE SPRINGFIELD, MO 65810
- Mailing Phone
- (417) 723-5900
- Mailing Fax
- (417) 723-8559
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-06-2007
- Last Update Date
- 08-22-2020
- 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
- License No.
- 033564
- License State
- MO
- 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
- 26D0957816
- Facility Type
- Other
- Certificate Effective Date
- March 03, 2025
- Certificate Expiration Date
- March 02, 2027
- Laboratory Director
- TROY H. DAVIDSON III
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Crane Residential Care Home 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 1730219973, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730219973, enumerated as an "organization" on March 06, 2007.
The provider is located at 102 E LILLIAN AVE CRANE, MO 65633 and the phone number is (417) 723-5900.
Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.
