MCDONALD BOARDING HOME
NPI 1215603402
Assisted Living Facility in Saint Joseph, MO

NPI Status: Active since August 18, 2021

Contact Information

436 N 17TH ST
SAINT JOSEPH, MO
ZIP 64501
Phone: (816) 233-7060
Fax: (816) 233-7060

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0963743
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 08-08-2025

About MCDONALD BOARDING HOME

This page provides the complete NPI Profile along with additional information for Mcdonald Boarding Home, a provider established in Saint Joseph, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1215603402 assigned on August 2021. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dennis D Mcdonald (Owner)

NPI
1215603402
Provider Name
MCDONALD BOARDING HOME
Entity Type
Organization
Location Address
436 N 17TH ST SAINT JOSEPH, MO 64501
Location Phone
(816) 233-7060
Location Fax
(816) 233-7060
Mailing Address
436 N 17TH ST SAINT JOSEPH, MO 64501
Mailing Phone
(816) 233-7060
Mailing Fax
(816) 233-7060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-18-2021
Last Update Date
08-18-2021
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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

DENNIS D MCDONALD

Authorized Official Title
OWNER
Authorized Official Phone
(816) 233-7060

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
26D0963743
Facility Type
Other
Certificate Effective Date
August 09, 2023
Certificate Expiration Date
August 08, 2025
Laboratory Director
DENNIS D. MCDONALD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mcdonald Boarding Home 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.
1215603402
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225120640
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 0 + 6 + 4 + 0 + 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 1215603402 is valid because the calculated check digit 2 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
1972276368 DENNIS D MCDONALD
Individual
Assisted Living Facility436 N 17TH ST
SAINT JOSEPH, MO 64501
(816) 233-7060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215603402, enumerated in the NPI registry as an "organization" on August 18, 2021

The provider is located at 436 N 17th St Saint Joseph, Mo 64501 and the phone number is (816) 233-7060

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

The provider's CLIA number is 26D0963743 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 August 18, 2021. 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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