CUBA MANOR, INC. (NPI# 1447246830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447246830 |
| Entity Type | Organization |
| Organization Name | CUBA MANOR, INC. |
| Other Organization Name | CUBA MANOR |
| Practice Address |
210 Eldon St Cuba MO 65453-1642 |
| Practice Telephone | 5738854500 |
| Practice Fax Number | 5738854450 |
| Mailing Telephone | 5738854500 |
| Mailing Fax Number | 5738854450 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | JAMES C LINCOLN (SHAREHOLDER) |
| Authorized Official Telephone | 5737467100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 031548 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE ID | 16213459 | 01 |
| MO | 108297904 | 05 |
| Other Name | Type Code |
|---|---|
| Cuba Manor | Doing Business As Name - Organization |
| Street Address |
210 ELDON ST |
| City | CUBA |
| State | MO |
| Zip Code | 65453-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669702353 | Jamie L Kuenzie | Occupational Therapist | 210 Eldon St, Cuba, MO 65453-1642 | 2010-01-04 |
| 1760711345 | Stacy Ann Baker | Occupational Therapist | 210 Eldon St, Cuba, MO 65453-1642 | 2009-12-10 |
| 1710170931 | Jamie Danae Schultz | Physical Therapist | 210 Eldon St, Cuba, MO 65453-1642 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508365693 | Mary Frances Tatkenhorst | Counselor | 1200 Martin St Unit 2, Cuba, MO 65453 | 2018-02-05 |
| 1194112946 | Tamara Cooks | Pediatrics | 102 Ozark Dr Ste B, Cuba, MO 65453 | 2015-04-20 |
| 1033406434 | Sj Black Investments LLC | Chiropractor | 501a South Franklin Street, Cuba, MO 65453 | 2011-07-06 |
| 1427209667 | Monica Hutchison | Counselor | 1373 Windle Road, Cuba, MO 65453 | 2008-10-07 |
| 1164612818 | Healthnet Regional Center of Cuba, Inc.. | Clinic/Center | 108 Buchanan, Cuba, MO 65453 | 2007-07-30 |
| 1962523779 | Richard A Money | Social Worker | Stubblefield Care Ctr, 5349 Hwy P, Cuba, MO 65453 | 2007-04-02 |
| 1841338936 | Christopher C. Conger | Family Medicine | 105n Lawrence, Cuba, MO 65453 | 2007-02-02 |
| 1205989670 | Frank Puc | Pediatrics | 4400 W 95th Street, Suite 104, Oak Lawn, IL 65453 | 2007-01-19 |
| 1184731671 | Sandy Hagene | Nurse Practitioner | 102 Ozark Dr, Cuba, MO 65453 | 2006-08-23 |
| 1467643502 | Victorian Manor of Cuba Inc | Assisted Living Facility | 901 Hwy Dd, Cuba, MO 65453-0901 | 2007-08-05 |
| Find all providers in zip 65453 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497889554 | County of Fulton | Skilled Nursing Facility | 625 East Monroe Street, Cuba, IL 61427-0200 | 2007-03-14 |
| 1689656852 | Cuba Memorial Hospital Inc | Skilled Nursing Facility | 140 W Main St, Cuba, NY 14727-1317 | 2005-11-15 |
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|---|---|---|---|---|
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| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
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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.