CAPETOWN ALF BY AMERICARE
NPI 1154474005
Assisted Living Facility in Cape Girardeau, MO

NPI Status: Active since January 22, 2007

Contact Information

2857 CAPE LACROIX RD
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-4855
Fax: (573) 334-4897

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D1021217
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 01-14-2026

About CAPETOWN ALF BY AMERICARE

This page provides the complete NPI Profile along with additional information for Capetown Alf By Americare, a provider established in Cape Girardeau, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1154474005 assigned on January 2007. The practitioner's primary taxonomy code is 310400000X with license number 033613 (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 Mrs. Joanne Kristen Shaw L.p.n. (Administrator)

NPI
1154474005
Provider Name
CAPETOWN ALF BY AMERICARE
Entity Type
Organization
Location Address
2857 CAPE LACROIX RD CAPE GIRARDEAU, MO 63701
Location Phone
(573) 334-4855
Location Fax
(573) 334-4897
Mailing Address
2857 CAPE LACROIX RD CAPE GIRARDEAU, MO 63701
Mailing Phone
(573) 334-4855
Mailing Fax
(573) 334-4897
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
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.
033613
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

MRS. JOANNE KRISTEN SHAW L.P.N.

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(573) 334-4855

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
26D1021217
Facility Type
Assisted Living Facility
Certificate Effective Date
January 15, 2024
Certificate Expiration Date
January 14, 2026
Laboratory Director
COLBY T. SIMPKINS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Capetown Alf By Americare 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.
1154474005
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110487800
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 7 + 8 + 0 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1154474005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174570030CAPETOWN RESIDENTIAL, LLC
Organization
Assisted Living Facility2857 CAPE LACROIX RD
CAPE GIRARDEAU, MO 63701
(573) 334-4855

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154474005, enumerated in the NPI registry as an "organization" on January 22, 2007

The provider is located at 2857 Cape Lacroix Rd Cape Girardeau, Mo 63701 and the phone number is (573) 334-4855

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

The provider's CLIA number is 26D1021217 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 January 22, 2007. 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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