BRISTOL CARE,INC. (NPI# 1053526665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053526665 |
| Entity Type | Organization |
| Organization Name | BRISTOL CARE,INC. |
| Other Organization Name | BRISTOL MANOR OF BUFFALO |
| Practice Address |
1002 Birch St Buffalo MO 65622-9455 |
| Mailing Address |
201 W 3rd St Sedalia MO 65301-4352 |
| Practice Telephone | 4173455500 |
| Practice Fax Number | 4173455500 |
| Mailing Telephone | 6608260200 |
| Mailing Fax Number | 6608272027 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2007-10-02 |
| Authorized Official Name | MRS. SHELLEY DEANNE EBELING (MEDICAID BILLING DEPARTMENT) |
| Authorized Official Telephone | 6608260200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bristol Manor of Buffalo | Other Name - Individual/Organization |
| Street Address |
1002 BIRCH ST |
| City | BUFFALO |
| State | MO |
| Zip Code | 65622-9455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679822217 | Leanne Boggs | Counselor | 1336 S Ash St., Suite 102, Buffalo, MO 65622 | 2012-08-29 |
| 1457589293 | Benson Thomas Pyatt | Dentist | 1006 South Ash, Buffalo, MO 65622 | 2009-07-01 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1275750879 | Community Clinic of Buffalo LLC | Clinic/Center | 1228 W Truman, Buffalo, MO 65622 | 2007-04-18 |
| 1790887156 | Ed G Pyatt | Dentist | 1006 S Ash, Buffalo, MO 65622 | 2006-09-05 |
| 1497864136 | Christopher L Dugas | Chiropractor | 701 N Maple St, Buffalo, MO 65622 | 2006-08-29 |
| 1598019564 | Ashley Justine Perkins | Physical Therapist | 631 W Main St, Buffalo, MO 65622 | 2012-10-30 |
| 1790032332 | Sara E Hertzke-hill | Physician Assistant | 201 S Ash St, Buffalo, MO 65622 | 2012-08-14 |
| 1629103502 | Mercy Clinic-springfield Communities | Family Medicine | 118 W Dallas St, Buffalo, MO 65622 | 2007-02-22 |
| 1386789972 | Dallas County Health Department | Public Health or Welfare | 1011 W Main, Buffalo, MO 65622-0199 | 2007-02-21 |
| Find all providers in zip 65622 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1730570128 | Elder Care Inc | Assisted Living Facility | 682 N Main St, Buffalo, WY 82834-1736 | 2015-02-07 |
| 1043550783 | Independent Enrollment Nursing | Assisted Living Facility | 338 Grant St, Buffalo, NY 14213-1422 | 2013-02-16 |
| 1639445570 | Central Minnesota Senior Housing, LLC | Assisted Living Facility | 201 First Street Ne, Buffalo, MN 55313-1550 | 2012-03-26 |
| 1124275482 | Premier Residential Care LLC | Assisted Living Facility | 967 North Maple, Buffalo, MO 65622 | 2008-08-19 |
| 1548422173 | Sunrise Senior Living Management Inc | Assisted Living Facility | 201 1st St Ne, Buffalo, MN 55313-1550 | 2008-06-25 |
| 1801057328 | Sunrise Senior Living Management, Inc. | Assisted Living Facility | 407 8th St Nw, Buffalo, MN 55313-1003 | 2008-06-18 |
| 1154506368 | Park Terrace Assisted Living, Inc. | Assisted Living Facility | 613 Montrose Blvd, Buffalo, MN 55313-1384 | 2008-01-07 |
| 1649752619 | Gentle Touch Health Initiatives, LLC | Assisted Living Facility | 201 1st St Ne, Buffalo, MN 55313-1550 | 2018-09-05 |
| 1467819771 | Kenwell Gardens | Assisted Living Facility | 3456 Delaware Ave, Buffalo, NY 14217-1214 | 2016-01-19 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.