BRISTOL CARE INC. NPI 1861608812

NPI Information

  • NPI: 1861608812
  • Provider Name: BRISTOL CARE, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Other Name: ASHBURY HEIGHTS OF FAYETTE
  • CLIA Number: 26D1055016
  • Address: 200 GROCE ST
    FAYETTE, MO
    ZIP 65248
  • Phone: (660) 248-3603

Map and Directions

Get Directions

NPI Details

BRISTOL CARE, INC. is an assisted living facility in Fayette, 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 1861608812. The provider is registered as an organization entity type.
The provider Other Name Is Ashbury Heights Of Fayette.

The provider's business location address is:

200 GROCE ST
FAYETTE, MO
ZIP 65248-813
Phone: (660) 248-3603
Fax: (660) 248-3603

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 26D1055016 - 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 10/1/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI