BRISTOL CARE, INC. (NPI# 1689880239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689880239 |
Entity Type | Organization |
Organization Name | BRISTOL CARE, INC. |
Other Organization Name | BRISTOL MANOR OF CENTRALIA |
Practice Address |
610 N Jefferson St Centralia MO 65240-1178 |
Mailing Address |
201 W 3rd St Sedalia MO 65301-4352 |
Practice Telephone | 5736825913 |
Practice Fax Number | 5736825913 |
Mailing Telephone | 6608260200 |
Mailing Fax Number | 6608272027 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-10-02 |
Authorized Official Name | 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 Centralia | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154539781 | Bristol Care, Inc. | Assisted Living Facility | 204 South 65 Highway, Lincoln, MO 65338-9540 | 2007-05-18 |
1598972580 | Bristol Care, Inc. | Assisted Living Facility | 704 W Chestnut St, Fulton, MO 65251-1254 | 2007-05-17 |
1437365145 | Bristol Care, Inc. | Assisted Living Facility | 402 Redbud Rd, Concordia, MO 64020-8358 | 2007-05-16 |
1225244940 | Bristol Care, Inc. | Assisted Living Facility | 1316 Deadra Dr, Lebanon, MO 65536-4609 | 2007-05-16 |
1861608598 | Bristol Care, Inc. | Assisted Living Facility | 5173 N 22nd St, Ozark, MO 65721-7637 | 2007-05-16 |
1659587384 | Bristol Care, Inc. | Assisted Living Facility | 1109 W Old Farm Rd, Mexico, MO 65265-3250 | 2007-05-16 |
1255547972 | Bristol Care, Inc. | Assisted Living Facility | 401 Sw Rock Creek Ln, Grain Valley, MO 64029-8460 | 2007-05-16 |
1598971848 | Bristol Care, Inc. | Assisted Living Facility | 1017 Lawn St, Monroe City, MO 63456-1433 | 2007-05-15 |
1861608812 | Bristol Care, Inc. | Assisted Living Facility | 200 Groce St, Fayette, MO 65248-9813 | 2007-05-15 |
1811103013 | Bristol Care, Inc. | Assisted Living Facility | 2049 Rose Ln, Pacific, MO 63069-1165 | 2007-05-15 |
Street Address |
610 N JEFFERSON ST |
City | CENTRALIA |
State | MO |
Zip Code | 65240-1178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902146442 | Sarah Elizabeth Hall | Counselor | 318 W Barnes St, Centralia, MO 65240 | 2013-02-20 |
1528265725 | Paulus E Lawson Jr. | Dentist | 120 North Allen Street, Centralia, MO 65240 | 2007-06-29 |
1245348572 | Lori Carol Brown | Chiropractor | 201 W Switzler Street, Suite 1, Centralia, MO 65240 | 2006-08-27 |
1790126399 | Andrea Young Willer | Nurse Practitioner | 1021 E Highway 22, Centralia, MO 65240 | 2013-07-11 |
1770637332 | Brown Chiropractic Wellness Center | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2007-01-22 |
1962881136 | Lezlie David | Massage Therapist | 201 W Switzler St, Ste. #1, Centralia, MO 65240-1035 | 2015-05-21 |
1457687386 | Brown Chiropractic Wellness Center & Spa, LLC | Chiropractor | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2009-10-28 |
1356675672 | Melanie Dawn Miller Morgret | Massage Therapist | 201 W Switzler St, Centralia, MO 65240-1035 | 2009-09-21 |
1518139542 | Mary Beth Gehringer | Massage Therapist | 201 W Switzler St, Suite 1, Centralia, MO 65240-1035 | 2008-03-31 |
1154328953 | Health Services Administration, Inc | Skilled Nursing Facility | 750 E Highway 22, Centralia, MO 65240-1146 | 2005-07-07 |
Find all providers in zip 65240 |
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] |
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1972940815 | Sandra Care | Assisted Living Facility | 1215 S Tower Ave, Centralia, WA 98531-2338 | 2013-06-02 |
1134393754 | Bonan Brothers Properties Project #3 LLC | Assisted Living Facility | 2049 E Mccord St, Centralia, IL 62801-6727 | 2008-04-15 |
1487852083 | Bonan Brothers Properties Project #2, LLC | Assisted Living Facility | 2047 E Mccord St, Centralia, IL 62801-6782 | 2007-07-05 |
1285885509 | Heritage Woods of Centralia, LLC | Assisted Living Facility | 2049 E Mccord St, Centralia, IL 62801-6784 | 2008-10-06 |
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1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
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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.