MAPLE RIDGE RESIDENTIAL CARE LLC
NPI 1992822639
Assisted Living Facility - Assisted Living, Mental Illness in Farmington, MO

Q: What is Maple Ridge Residential Care LLC's NPI number?

The NPI number for Maple Ridge Residential Care LLC is 1992822639. It was assigned to this organization in the NPPES registry on March 26, 2007.

Q: What is Maple Ridge Residential Care LLC's specialty?

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

Active since March 26, 2007CLIA 26D0924309 · Waiver

1034 DORIS DR, FARMINGTON, MO 63640(573) 760-0155(573) 760-0524 Get Directions Write a Review

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

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About Maple Ridge Residential Care Llc NPPES

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

MAPLE RIDGE RESIDENTIAL CARE LLC (NPI 1992822639) is a healthcare organization registered as an assisted living, mental illness in Farmington, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Patricia Anderson, Secretary, as its authorized official.

NPPES Registry Identity

NPI1992822639

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameMAPLE RIDGE RESIDENTIAL CARE LLC

Location Address1034 DORIS DRFarmington, MO 63640-1954

Mailing Address231 S Main St, Suite BIronton, MO 63650-1307 · (573) 546-1616 · Fax (573) 546-6465

Phone(573) 760-0155

Fax(573) 760-0524

Organization SubpartNo

Authorized OfficialPatricia AndersonSecretary · (573) 546-1616

Enumeration DateMarch 26, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1992822639 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 · 033512

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.

1034 DORIS DR, Farmington, MO 63640

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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 26D0924309

Maple Ridge Residential Care Center LLC · Farmington, MO

Active · expires Jan 26, 2027

CLIA Number26D0924309

Laboratory TypeResidential Care Facility

Certificate Effective DateJanuary 27, 2025

Certificate Expiration DateJanuary 26, 2027

Laboratory DirectorKaren Veach

Laboratory Phone(573) 760-0155

Laboratory LocationMaple Ridge Residential Care Center LLC1034 Doris Drive, Farmington, MO 63640

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

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

MAPLE RIDGE RESIDENTIAL CARE CENTER, LLC

Assisted Living Facility (Assisted Living, Mental Illness)

1034 DORIS DR
FARMINGTON, MO 63640

St. Francois County (573) 330-3760

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 Maple Ridge Residential Care LLC's NPI number?

The NPI number for Maple Ridge Residential Care LLC is 1992822639. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Maple Ridge Residential Care LLC located?

Maple Ridge Residential Care LLC is located at 1034 Doris Dr, Farmington, MO 63640. The listed phone number is (573) 760-0155.

What is Maple Ridge Residential Care LLC's specialty?

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

Does Maple Ridge Residential Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0924309) is associated with this NPI, valid through January 26, 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 Maple Ridge Residential Care LLC 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.