LINDELL MANOR INC
NPI 1750598785
Assisted Living Facility in Saint Louis, MO

NPI Status: Active since May 17, 2007

Contact Information

4336 LINDELL BLVD
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 652-4828

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0958538
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 03-21-2027

About LINDELL MANOR INC

This page provides the complete NPI Profile along with additional information for Lindell Manor Inc, a provider established in Saint Louis, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1750598785 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X with license number 033784 (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 Jessica Marie Stubblefield (Office Manager)

NPI
1750598785
Provider Name
LINDELL MANOR INC
Entity Type
Organization
Location Address
4336 LINDELL BLVD SAINT LOUIS, MO 63108
Location Phone
(314) 652-4828
Mailing Address
4336 LINDELL BLVD SAINT LOUIS, MO 63108
Mailing Phone
(314) 652-4828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
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.
033784
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

JESSICA MARIE STUBBLEFIELD

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(314) 803-6620

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
26D0958538
Facility Type
Assisted Living Facility
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
ERIC E. MARTINEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lindell Manor Inc 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.
1750598785
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710010916716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 9 + 1 + 6 + 7 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1750598785 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
1356193601LINDEN MANOR CNSL OPERATION LLC
Organization
Assisted Living Facility4336 LINDELL BLVD
SAINT LOUIS, MO 63108
(314) 652-4828

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750598785, enumerated in the NPI registry as an "organization" on May 17, 2007

The provider is located at 4336 Lindell Blvd Saint Louis, Mo 63108 and the phone number is (314) 652-4828

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

The provider's CLIA number is 26D0958538 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 May 17, 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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