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SHELBINA VILLA LIFECARE
NPI 1972620987
Assisted Living Facility in Shelbina, MO

Active since March 23, 2007CLIA 26D0891146 · Waiver
218 E SHELBINA AVE, SHELBINA, MO 63468(573) 588-4115(573) 588-2383 Get Directions Write a Review

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

About Shelbina Villa Lifecare NPPES

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

SHELBINA VILLA LIFECARE (NPI 1972620987) is a healthcare organization registered as an assisted living facility in Shelbina, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Kelly S. Harbert, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1972620987
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPECTRUM PARTNERS L.L.C.
Location Address218 E SHELBINA AVEShelbina, MO 63468-4328
Mailing Address218 E Shelbina AveShelbina, MO 63468-4328 · (573) 588-4115 · Fax (573) 588-2383
Phone(573) 588-4115
Fax(573) 588-2383
Organization SubpartNo
Authorized OfficialKelly S. HarbertManaging Member · (573) 588-4115
Enumeration DateMarch 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1972620987 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 · 031867
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.
218 E SHELBINA AVE, Shelbina, MO 63468
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Other Names 1

Doing Business AsShelbina Villa Lifecare

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 26D0891146

Shelbina Villa Lifecare · Shelbina, MO
Active · expires Aug 30, 2026
CLIA Number26D0891146
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorKim Thompson
Laboratory Phone(573) 588-4115
Laboratory LocationShelbina Villa Lifecare218 E Shelbina Ave, Shelbina, MO 63468
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELBINA VILLAGE ESTATES, INC
Assisted Living Facility
218 E SHELBINA AVE
SHELBINA, MO 63468
Shelby County (573) 588-4115
MS. LAURA ANN TULLOCK OTR
Occupational Therapist
218 E SHELBINA AVE
SHELBINA, MO 63468
Shelby County (573) 588-0187

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 Spectrum Partners L.L.C.'s NPI number?

The NPI number for Spectrum Partners L.L.C. is 1972620987. It was assigned to this organization in the NPPES registry on March 23, 2007. The provider is doing business as Shelbina Villa Lifecare.

Where is Spectrum Partners L.L.C. located?

Spectrum Partners L.L.C. is located at 218 E Shelbina Ave, Shelbina, MO 63468. The listed phone number is (573) 588-4115.

What is Spectrum Partners L.L.C.'s specialty?

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

Does Spectrum Partners L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0891146) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Spectrum Partners L.L.C. 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.