EQUILIBRIUM RANCH NPI 1285398024

NPI Information

  • NPI: 1285398024
  • Provider Name: EQUILIBRIUM RANCH
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • CLIA Number: 26D2179950
  • Address: 81 PILKENTON LN
    CUBA, MO
    ZIP 65453
  • Phone: (573) 885-6443

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NPI Details

EQUILIBRIUM RANCH is an assisted living and mental illness assisted living facility in Cuba, MO. The provider is 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. EQUILIBRIUM RANCH NPI is 1285398024. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

81 PILKENTON LN
CUBA, MO
ZIP 65453-136
Phone: (573) 885-6443
Fax: (844) 851-0578

The provider's authorized official is Christian B Shelton .
The authorized official title is Owner and has the following contact phone number (314) 580-3029.

The CLIA number assigned to this NPI record is 26D2179950 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2021 and was last updated on 1/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2251B00000XCase ManagementNo
33104A0625XAssisted Living FacilityAssisted Living, Mental IllnessYes
4311ZA0620XCustodial Care FacilityAdult Care HomeNo
5364SL0600XClinical Nurse SpecialistLong-Term CareNo
63747P1801XTechnicianPersonal Care AttendantNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11003364969MEDICAIDMISSOURI
21164781373MEDICAIDMISSOURI
31639213366MEDICAIDMISSOURI
41841769908MEDICAIDMISSOURI
51073655619MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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