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BRISTOL CARE INC. NPI 1629284989


NPI Information

NPI: 1629284989
Provider Name: BRISTOL CARE, INC.

Other Name: BRISTOL MANOR OF NEVADA

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D0963144

Address:
401 E WALNUT ST
NEVADA, MO
ZIP 64772
Phone: (417) 667-5700
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BRISTOL CARE, INC. is an assisted living facility in Nevada, MO. The provider is 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. BRISTOL CARE, INC. NPI is 1629284989. The provider is registered as an organization entity type.
The provider Other Name Is Bristol Manor Of Nevada.

The provider's business location address is:

401 E WALNUT ST
NEVADA, MO
ZIP 64772-457
Phone: (417) 667-5700
Fax: (417) 667-5700

The provider's authorized official is Shelley D Ebeling .
The authorized official title is Medicaid Billing Department and has the following contact phone number (660) 826-0200.

The CLIA number assigned to this NPI record is 26D0963144 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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