LIVINGSTON MANOR INC


Address: 939 E Birch Dr, Chillicothe, MO 64601-2189
Phone: 6606465177

LIVINGSTON MANOR INC (NPI# 1740385228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740385228
Entity Type Organization
Organization Name LIVINGSTON MANOR INC
Other Organization Name LIVINGSTON MANOR CARE CENTER
Practice Address 939 E Birch Dr
Chillicothe
MO 64601-2189
Practice Telephone 6606465177
Practice Fax Number 6606465186
Mailing Telephone 6606465177
Mailing Fax Number 6606465186
Enumeration Date 2006-09-13
Last Update Date 2012-07-05
Authorized Official Name MR. HAL JUCKETTE (OWNER)
Authorized Official Telephone 6606465177
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 017795 MO Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 102201902 05

Other Provider/Organization Names

Other Name Type Code
Livingston Manor Care Center Doing Business As Name - Organization

Office Location

Street Address 939 E BIRCH DR
City CHILLICOTHE
State MO
Zip Code 64601-2189

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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

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Competitor

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City CHILLICOTHE
Zip Code 64601

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Dataset Information

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.

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