Monroe City Manor Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031459 Issued in MO

Legal business name

MONROE CITY MANOR CARE CENTER, INC

Doing business as

Monroe City Manor Care Center

Practice address

1010 Highway 24 and 36 E
Monroe City, MO 63456-1116

Phone

(573) 735-4850

Fax

(573) 735-3511

NPI assigned

Aug 26, 2005

Last updated

Aug 23, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Alexandra L Edris

Title

Administrator

Phone

(573) 735-4850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monroe City Manor Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023001799. Details of each certification follow.

• CCN 265574 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265574

Legal name

MONROE CITY MANOR CARE CENTER INC

Doing business as

MONROE CITY MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 31, 1994

Last certification

Nov 16, 2023

Beds

60

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

1010 Highway 24 and 36 E
Monroe City, MO 63456-1116

Nursing home name

MONROE CITY MANOR CARE CENTER

Listed as

Monroe City Manor Care CenterCCN 265574 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

5 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 31, 1994

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

6049.5 residents per day on average

Penalties (3 years)

1Fines totaling $24,408

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937
  NPD (past)
• Rodney Lynn Yager, D.O.

  • Family Medicine Physician
  • Hannibal, MO
  • NPI 1851321202
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephen E. Halpin, M.D.

  • Internal Medicine Physician
  • Hannibal, MO
  • NPI 1346229937

  Nursing home

  Care Compare affiliation
• Rodney Lynn Yager, D.O.

  • Family Medicine Physician
  • Hannibal, MO
  • NPI 1851321202

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1023001799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HWY 24 & 36 E",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "63456",
            "telephone_number": "573-735-4850",
            "fax_number": "573-735-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HIGHWAY 24 AND 36 E",
            "city": "MONROE CITY",
            "state": "MO",
            "postal_code": "634561116",
            "telephone_number": "573-735-4850",
            "fax_number": "573-735-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE CITY MANOR CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "EDRIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "573-735-4850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102486909",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe City Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matt Maxwell, R.PH.
• Adrian Marie Mehrer
• Jaclyn Miller
• Monroe City Ambulance District
• Monroe City Family Chiropractic
• Monroe City R-I School District
• Monroe County Resource Board
• Kayla Michelle Morgan, COTA/L
• Megan H Moss, SLP
• Lisa Marie Orton

• Skilled Nursing Facility in Monroe City, MO
• Providers in Monroe City, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.