BRISTOL CARE, INC. (NPI# 1912113242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912113242 |
| Entity Type | Organization |
| Organization Name | BRISTOL CARE, INC. |
| Other Organization Name | BRISTOL MANOR OF MACON |
| Practice Address |
707 Ranchland Dr Macon MO 63552-1994 |
| Mailing Address |
201 W 3rd St Sedalia MO 65301-4352 |
| Practice Telephone | 6603853020 |
| Practice Fax Number | 6603853020 |
| Mailing Telephone | 6608260200 |
| Mailing Fax Number | 6608272027 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | SHELLEY D 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 Macon | 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 |
707 RANCHLAND DR |
| City | MACON |
| State | MO |
| Zip Code | 63552-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891194783 | Dialysis Clinic Inc | Clinic/Center | 1203 N. Missouri St, Macon, MO 63552 | 2014-08-18 |
| 1477624161 | Charles Edgar Averill Jr. | Occupational Therapist | 704a South Missouri, Macon, MO 63552 | 2006-11-13 |
| 1629035084 | Missouri Cvs Pharmacy, L.L.C. | Pharmacy | 1105 N Rutherford St, Macon, MO 63552 | 2006-04-28 |
| 1659560688 | Iris Ladawn Gaerditz | Speech-Language Pathologist | 702 N Missouri St, Macon, MO 63552 | 2007-10-16 |
| 1841316296 | Paul Vincent Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-03-21 |
| 1891908612 | Mid Missouri Physical Therapy | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0381 | 2007-05-08 |
| 1366568735 | Lara Beth Jones | Physical Therapist | 2005 N. Missouri St., Suite D., Macon, MO 63552-0381 | 2007-03-21 |
| 1871619262 | Abby M Lane | Physical Therapist | 2005 N. Missouri St., Suite D, Macon, MO 63552-0387 | 2007-03-21 |
| 1457715906 | Kimberly Oroke | Social Worker | 821 Charles St, Columbia, MO 63552-1064 | 2016-04-11 |
| 1679100507 | Macon County Sheltered Workshop | Private Vehicle | 1103 Enterprise Rd, Macon, MO 63552-1305 | 2020-03-23 |
| Find all providers in zip 63552 | ||||
| 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 |
|---|---|---|---|---|
| 1992265193 | Bibb Alc LLC | Assisted Living Facility | 4901 Harrison Rd, Macon, GA 31206-4135 | 2019-03-22 |
| 1700389558 | Christine L Wiggins | Assisted Living Facility | 1154 Magnolia Dr, Macon, GA 31217-4223 | 2018-03-16 |
| 1811449796 | Caroline Renfroe | Assisted Living Facility | 4732 Sgoda Rd, Macon, GA 31217-8855 | 2016-10-26 |
| 1770821050 | Healing Hands Personal Care Home | Assisted Living Facility | 1157 Rocky Creek Rd, Macon, GA 31206-2639 | 2013-01-22 |
| 1033484928 | Life Trust America, Inc | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3957 | 2012-03-12 |
| 1164622387 | Spain Personal Care Home, Inc | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2007-07-25 |
| 1821210964 | Macon Senior Living, LLC | Assisted Living Facility | 250 Water Tower Court, Macon, GA 31210 | 2007-05-02 |
| 1306493416 | Snh Georgia Tenant LLC | Assisted Living Facility | 6191 Peake Rd, Macon, GA 31220-3958 | 2019-08-22 |
| 1033546957 | Quality Choice PCh | Assisted Living Facility | 3075 Antioch Rd, Macon, GA 31206-1545 | 2013-10-09 |
| 1467896407 | Victoria Presonal Care Home LLC | Assisted Living Facility | 2666 Nancy Dr, Macon, GA 31206-4941 | 2013-04-22 |
| Find all providers in MACON | ||||
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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.