PARKWOOD MANOR
NPI 1760457683
Assisted Living Facility - Assisted Living, Mental Illness in Cape Girardeau, MO
NPI Status: Active since February 22, 2006
Contact Information
325 N SPRIGG ST
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 334-7011
Fax: (573) 334-7011
- Organization
- Assisted Living Facility
- Assisted Living, Mental Illness
- CLIA Number: 26D2130066
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 05-01-2025
About PARKWOOD MANOR
This page provides the complete NPI Profile along with additional information for Parkwood Manor, a provider established in Cape Girardeau, Missouri operating as a Assisted Living Facility, focusing in assisted living, mental illness . The healthcare provider is registered in the NPI registry with number 1760457683 assigned on February 2006. The practitioner's primary taxonomy code is 3104A0625X with license number 371-7545 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Parkwood Manor. The authorized official of this NPI record is Mrs. Gale A Lacy (Office Manager)
- NPI
- 1760457683
- Provider Legal Name
- SHALIMAR CORP. D/B/A PARKWOOD MANOR
- Other Organization Name
- PARKWOOD MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 325 N SPRIGG ST CAPE GIRARDEAU, MO 63701
- Location Phone
- (573) 334-7011
- Location Fax
- (573) 334-7011
- Mailing Address
- 2732 BLOOMFIELD RD CAPE GIRARDEAU, MO 63703
- Mailing Phone
- (573) 335-3044
- Mailing Fax
- (573) 334-7011
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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 Assisted Living, Mental Illness
- Taxonomy Code
- 3104A0625X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 371-7545
- License State
- MO
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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
- 26D2130066
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- May 02, 2023
- Certificate Expiration Date
- May 01, 2025
- Laboratory Director
- SHAFIQ M. MALIK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Parkwood Manor 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. | |||||||||
| 1 | 7 | 6 | 0 | 4 | 5 | 7 | 6 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 8 | 5 | 14 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 8 + 5 + 1 + 4 + 6 + 1 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1760457683 is valid because the calculated check digit 3 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 1760457683, enumerated in the NPI registry as an "organization" on February 22, 2006
The provider is located at 325 N Sprigg St Cape Girardeau, Mo 63701 and the phone number is (573) 334-7011
This medical organization specializes in Assisted Living Facility with taxonomy code 3104A0625X with a focus in Assisted Living, Mental Illness
The provider's CLIA number is 26D2130066 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 February 22, 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].
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