NPIMap

Bristol Care, Inc.

Organization Active NPI Assisted Living Facility · Salisbury, MO

NPI 1114133196 · NPPES record last updated Oct 3, 2007

Key facts

NPI
1114133196
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BRISTOL CARE, INC.
Practice address
102 N Willie Ave
Salisbury, MO 65281-1458
Phone
(660) 388-5728
Fax
(660) 388-5728
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

Name
Shelley D Ebeling
Title
Medicaid Billing Department
Phone
(660) 826-0200

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1018037Bristol Manor of Salisbury
102 N Willie St, Salisbury, MO 65281		Certificate of waiverOct 9, 2027

National Provider Directory

Tax ID family
Bristol Care Inc (62 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

102 N Willie Ave
Salisbury, MO 65281-1458

Mailing address

201 W 3Rd St
Sedalia, MO 65301-4352
Phone (660) 826-0200

Other names

  • Bristol Manor of Salisbury Other name

Other providers in Salisbury, MO

All providers in Salisbury, MO · Assisted Living Facility in Missouri

Sources for this page

Verify at the official NPI Registry.