BLUE HILLS REST HOME INC.
NPI 1750442026
Assisted Living Facility in Independence, MO

NPI Status: Active since December 12, 2006

Contact Information

2207 N BLUE MILLS RD
INDEPENDENCE, MO
ZIP 64058
Phone: (816) 796-3376
Fax: (816) 796-5646

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0888840
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 07-13-2026

About BLUE HILLS REST HOME INC.

This page provides the complete NPI Profile along with additional information for Blue Hills Rest Home Inc., a provider established in Independence, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1750442026 assigned on December 2006. The practitioner's primary taxonomy code is 310400000X with license number 033489 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Ethel Marie Dunham Lnha (Administrator)

NPI
1750442026
Provider Name
BLUE HILLS REST HOME INC.
Entity Type
Organization
Location Address
2207 N BLUE MILLS RD INDEPENDENCE, MO 64058
Location Phone
(816) 796-3376
Location Fax
(816) 796-5646
Mailing Address
2207 N BLUE MILLS RD INDEPENDENCE, MO 64058
Mailing Phone
(816) 796-3376
Mailing Fax
(816) 796-5646
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
08-22-2020
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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

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
License No.
033489
License State
MO
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ETHEL MARIE DUNHAM LNHA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(816) 796-3376

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
26D0888840
Facility Type
Assisted Living Facility
Certificate Effective Date
July 14, 2024
Certificate Expiration Date
July 13, 2026
Laboratory Director
ETHEL M. DUNHAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Blue Hills Rest Home Inc. 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750442026
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710084404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 8 + 4 + 4 + 0 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1750442026 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750442026, enumerated as an "organization" on December 12, 2006.

The provider is located at 2207 N BLUE MILLS RD INDEPENDENCE, MO 64058 and the phone number is (816) 796-3376.

Assisted Living Facility with taxonomy code 310400000X.