SILVER CREEK ASSISTED LIVING
NPI 1134176738
Assisted Living Facility in Joplin, MO

NPI Status: Active since May 28, 2006

Contact Information

3325 TEXAS AVE
JOPLIN, MO
ZIP 64804
Phone: (417) 626-8100

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0911602
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 02-08-2026

About SILVER CREEK ASSISTED LIVING

This page provides the complete NPI Profile along with additional information for Silver Creek Assisted Living, a provider established in Joplin, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1134176738 assigned on May 2006. 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 provider's is doing business as Silver Creek Assisted Living. The authorized official of this NPI record is James Reiker (Treasurer)

NPI
1134176738
Provider Legal Name
JOPLIN RESIDENTIAL, LLC
Other Organization Name
SILVER CREEK ASSISTED LIVING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3325 TEXAS AVE JOPLIN, MO 64804
Location Phone
(417) 626-8100
Mailing Address
3325 TEXAS AVE JOPLIN, MO 64804
Mailing Phone
(417) 626-8100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-28-2006
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
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

JAMES REIKER

Authorized Official Title
TREASURER
Authorized Official Phone
(573) 471-1113

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
26D0911602
Facility Type
Other
Certificate Effective Date
February 09, 2024
Certificate Expiration Date
February 08, 2026
Laboratory Director
STACIE ROWLAND
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Silver Creek Assisted Living 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.
1134176738
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164271276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 1 + 2 + 7 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1134176738 is valid because the calculated check digit 8 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 1134176738, enumerated in the NPI registry as an "organization" on May 28, 2006

The provider is located at 3325 Texas Ave Joplin, Mo 64804 and the phone number is (417) 626-8100

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

The provider's CLIA number is 26D0911602 for a "other" 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 May 28, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.