FOUR SEASONS CARE CORP
NPI 1023615622
Assisted Living Facility in Moscow Mills, MO

NPI Status: Active since October 06, 2020

Contact Information

230 RAILROAD ST
MOSCOW MILLS, MO
ZIP 63362
Phone: (636) 366-4231
Fax: (636) 356-4321

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0719103
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 08-31-2026

About FOUR SEASONS CARE CORP

This page provides the complete NPI Profile along with additional information for Four Seasons Care Corp, a provider established in Moscow Mills, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1023615622 assigned on October 2020. The practitioner's primary taxonomy code is 310400000X. 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 Barbara Ann Howard (Administrator/president)

NPI
1023615622
Provider Name
FOUR SEASONS CARE CORP
Entity Type
Organization
Location Address
230 RAILROAD ST MOSCOW MILLS, MO 63362
Location Phone
(636) 366-4231
Location Fax
(636) 356-4321
Mailing Address
230 RAILROAD ST MOSCOW MILLS, MO 63362
Mailing Phone
(636) 366-4231
Mailing Fax
(636) 356-4321
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2020
Last Update Date
10-06-2020
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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
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

BARBARA ANN HOWARD

Authorized Official Title
ADMINISTRATOR/PRESIDENT
Authorized Official Phone
(636) 366-4231

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
26D0719103
Facility Type
Assisted Living Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BARBARA A. MOORE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Four Seasons Care Corp 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.
1023615622
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20431211064
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 1 + 2 + 1 + 1 + 0 + 6 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1023615622 is valid because the calculated check digit 2 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 1023615622, enumerated in the NPI registry as an "organization" on October 06, 2020

The provider is located at 230 Railroad St Moscow Mills, Mo 63362 and the phone number is (636) 366-4231

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 26D0719103 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on October 06, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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